Individual provider Active NPI

Yazhou Zhang

  • General Practice Dentistry
  • Princeton, ME
National Provider Identifier
1801241518
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN4585 Issued in ME
Practice address
136 Mill St
Princeton, ME 04668-3344
Phone
(207) 796-5503
Fax
(207) 483-2525
NPI assigned
May 1, 2016
Last updated
Feb 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN4585 ME
General Practice Dentistry 1223G0001X DEN4585 ME Primary

Addresses

Primary practice location

136 Mill St
Princeton, ME 04668-3344

Mailing address

136 Mill Street
Princeton, ME 04668-3043
Phone (207) 796-5503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906003629 ME Practitioner - Dentist 2567737349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DEN4585MEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
St Croix Regional Family Health Center CurrentSince Jul 15, 2023 Accepting new patients
St Croix Regional Family Health Center CurrentSince Jul 15, 2023 Accepting new patients
Harrington Family Health Center PastSince Jul 24, 2022 Accepting new patients

Locations

136 Mill St
Princeton, ME 04668
Phone (207) 796-5033

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10564/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGABA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1801241518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MILL STREET",
            "city": "PRINCETON",
            "state": "ME",
            "postal_code": "046683043",
            "telephone_number": "207-796-5503",
            "fax_number": "207-483-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MILL ST",
            "city": "PRINCETON",
            "state": "ME",
            "postal_code": "046683344",
            "telephone_number": "207-796-5503",
            "fax_number": "207-483-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "YAZHOU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-01",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ME",
            "license": "DEN4585",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "DEN4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, ME

Sources for this page

Verify at the official NPI Registry.