Active NPI
Alexander Zuk, DMD
- General Practice Dentistry
- Salem, OR
National Provider Identifier
1801563697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D11529
- Practice address
- 1805 E Nob Hill St SE
Salem, OR 97302-5237 - Phone
- (503) 364-9515
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D11529 | OR | Primary |
Addresses
Primary practice location
1805 E Nob Hill St SE
Salem, OR 97302-5237
Mailing address
1805 E Nob Hill St SE
Salem, OR 97302-5237
Phone (503) 364-9515
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11529 | OR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alexander M Zuk DMD LLC | Current | Accepting new patients |
Locations
1805 E Nob Hill St SE
Salem, OR 97302
Phone (503) 364-9515
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1801563697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 E NOB HILL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973025237",
"telephone_number": "503-364-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 E NOB HILL ST SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973025237",
"telephone_number": "503-364-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUK",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D11529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.