Individual provider Active NPI

Marina Zats Rozhavsky, DDS

  • General Practice Dentistry
  • Redwood City, CA
National Provider Identifier
1821466111
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64581 Issued in CA
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

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
64581CAMDMarriage & Family Therapist
24639CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.