Active NPI
Stephanie Zastrow, DDS, MBA
- Oral and Maxillofacial Surgery (Dentist)
- Bradenton, FL
National Provider Identifier
1801287651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DN23983
- Practice address
- 3914 9TH Ave W
Bradenton, FL 34205 - Phone
- (941) 747-5597
- NPI assigned
- Feb 16, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DN23983 | FL | Primary |
Addresses
Primary practice location
3914 9TH Ave W
Bradenton, FL 34205
Mailing address
3914 9TH Ave W
Bradenton, FL 34205-1704
Phone (941) 747-5597
Other practice location 1
1430 John Wesley Gilbert Drive
Augusta, GA 30912
Phone (612) 719-0129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190924001743 | FL | Order and Referring Only - Dentist | 4486984135 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troxler & Smith D.D.S PA | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Bradenton, FL
- NPI 1134422744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1801287651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3914 9TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342051704",
"telephone_number": "941-747-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3914 9TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "34205",
"telephone_number": "941-747-5597"
}
],
"practiceLocations": [
{
"address_1": "1430 John Wesley Gilbert Drive",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "30912",
"country_code": "US",
"telephone_number": "612-719-0129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZASTROW",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "DDS, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-16",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "FL",
"license": "DN23983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.