Active NPI
Marina Zats Rozhavsky, DDS
- General Practice Dentistry
- Redwood City, CA
National Provider Identifier
1821466111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 64581
- Practice address
- 20 Birch St
Redwood City, CA 94062-1409 - Phone
- (650) 701-1111
- Fax
- (650) 701-0960
- NPI assigned
- Sep 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 64581 | CA | Primary |
| Dental Hygienist | 124Q00000X | 24639 | CA |
Addresses
Primary practice location
20 Birch St
Redwood City, CA 94062-1409
Mailing address
20 Birch St
Redwood City, CA 94062-1409
Phone (650) 701-1111
Other names 1
- Marina Zats
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 |
|---|---|---|---|
| 64581 | CA | MD | Marriage & Family Therapist |
| 24639 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanna, DDS, Inc. | Past | Accepting new patients | |
| The Dental Group of Ihab M Hanna DDS & Karrishma Jumani DDS Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Redwood City, CA
- NPI 1275081192
-
- Dentist
- Redwood City, CA
- NPI 1275092082
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473638400000",
"number": "1821466111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BIRCH ST",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621409",
"telephone_number": "650-701-1111",
"fax_number": "650-701-0960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BIRCH ST",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940621409",
"telephone_number": "650-701-1111",
"fax_number": "650-701-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROZHAVSKY",
"first_name": "MARINA",
"middle_name": "ZATS",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-03",
"last_updated": "2016-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "64581",
"primary": true
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "24639",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARINA",
"last_name": "ZATS",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Redwood City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.