Organization Active NPI

Michael R. Zaritsky, DDS, PLLC

Doing business as Outer Banks Oral Surgery and Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Kitty Hawk, NC
National Provider Identifier
1790048668
Registry record updated Jun 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
9072 Issued in NC
Legal business name
MICHAEL R. ZARITSKY, DDS, PLLC
Doing business as
Outer Banks Oral Surgery and Implant Center
Practice address
5107 N Croatan Hwy
Suite 201
Kitty Hawk, NC 27949-3989
Phone
(252) 261-1313
Fax
(252) 261-1335
NPI assigned
Jun 16, 2012
Last updated
Jun 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Michael Richard Zaritsky, DDSNPI 1417046129
Title
Owner
Phone
(919) 699-4648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9072 NC Primary

Addresses

Primary practice location

5107 N Croatan Hwy
Suite 201
Kitty Hawk, NC 27949-3989

Mailing address

PO Box 512
Kitty Hawk, NC 27949-0512
Phone (252) 261-1313

Other identifiers 1

IdentifierTypeStateIssuer
5917735MedicaidNC

Other names 1

  • Outer Banks Oral Surgery and Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

5107 N Croatan Hwy
Ste 201
Kitty Hawk, NC 27949
Phone (252) 261-1313

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339804800000",
    "number": "1790048668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279490512",
            "telephone_number": "252-261-1313",
            "fax_number": "252-261-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 N CROATAN HWY",
            "address_2": "SUITE 201",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279493989",
            "telephone_number": "252-261-1313",
            "fax_number": "252-261-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R. ZARITSKY, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A",
        "authorized_official_last_name": "ZARITSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-699-4648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "9072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917735",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outer Banks Oral Surgery and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kitty Hawk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.