Active NPI
Margaret S Zajanc, DMD
- General Practice Dentistry
- Pocatello, ID
National Provider Identifier
1801015433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9670
- Practice address
- 1000 N 8TH Ave
Pocatello, ID 83201-5757 - Phone
- (208) 232-3368
- NPI assigned
- Apr 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9670 | AZ | |
| Dentist | 122300000X | 2021 | MT | |
| General Practice Dentistry | 1223G0001X | 34817 | TX | |
| General Practice Dentistry | 1223G0001X | 9670 | AZ | Primary |
Addresses
Primary practice location
1000 N 8TH Ave
Pocatello, ID 83201-5757
Mailing address
500 S 11TH Ave Ste 400
Pocatello, ID 83201-4880
Phone (208) 232-7862
Other practice location 1
152 S 4th St
Montpelier, ID 83254-1538
Phone (208) 847-2108
Other names 1
- Dr. Peggy S Walker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021 | MT | MD | Dentist |
| 34817 | TX | MD | General Practice Dentistry |
| 9670 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tremont Road Dental Super, P.C. | General Practice | Past | Accepting new patients |
| Health West, Inc. | Past | Accepting new patients | |
| Idaho State University | General Practice | Past | Accepting new patients |
| Idaho State University | Dentist | Past | Accepting new patients |
| East 22ND Street Dental, P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Pocatello, ID
- NPI 1346658515
-
- General Practice Dentistry
- Pocatello, ID
- NPI 1851516256
-
- Dentist
- Boise, ID
- NPI 1912110164
-
- General Practice Dentistry
- Tucson, AZ
- NPI 1396832994
-
- General Practice Dentistry
- Falls Church, VA
- NPI 1366539959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726876800000",
"number": "1801015433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S 11TH AVE STE 400",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832014880",
"telephone_number": "208-232-7862",
"fax_number": "208-232-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N 8TH AVE",
"city": "POCATELLO",
"state": "ID",
"postal_code": "832015757",
"telephone_number": "208-232-3368"
}
],
"practiceLocations": [
{
"address_1": "152 S 4th St",
"address_purpose": "LOCATION",
"city": "Montpelier",
"state": "ID",
"postal_code": "832541538",
"country_code": "US",
"telephone_number": "208-847-2108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAJANC",
"first_name": "MARGARET",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2024-09-21",
"certification_date": "2024-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "9670",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MT",
"license": "2021",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34817",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "9670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "WALKER",
"middle_name": "S",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pocatello, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.