Individual provider Active NPI

Edward Xing Guo Zhuo, D.D.S

  • Dentist
  • Flushing, NY
National Provider Identifier
1841446309
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054117 Issued in NY
Practice address
15402 33Rd Ave
Flushing, NY 11354-3314
Phone
(917) 558-1666
NPI assigned
Aug 14, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054117 NY Primary

Addresses

Primary practice location

15402 33Rd Ave
Flushing, NY 11354-3314

Mailing address

13261 41St Rd
Apt 102
Flushing, NY 11355-4285
Phone (718) 886-0860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160415000909 NY Order and Referring Only - DentistPractitioner - Dentist 1759689383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Zhuo, DDS, P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1841446309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13261 41ST RD",
            "address_2": "APT 102",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113554285",
            "telephone_number": "718-886-0860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15402 33RD AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543314",
            "telephone_number": "917-558-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHUO",
        "first_name": "EDWARD",
        "middle_name": "XING GUO",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-14",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.