Individual provider Active NPI

Jennifer Marie Zavoral, DMD

  • Dentist
  • Wexford, PA
National Provider Identifier
1841521168
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS038111 Issued in PA
Practice address
1000 Brooktree Rd
Suite 304
Wexford, PA 15090-9286
Phone
(724) 933-0070
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 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 DS038111 PA Primary

Addresses

Primary practice location

1000 Brooktree Rd
Suite 304
Wexford, PA 15090-9286

Mailing address

1000 Brooktree Rd
Suite 304
Wexford, PA 15090-9286
Phone (724) 933-0070

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
DS038111PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1841521168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROOKTREE RD",
            "address_2": "SUITE 304",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909286",
            "telephone_number": "724-933-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROOKTREE RD",
            "address_2": "SUITE 304",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909286",
            "telephone_number": "724-933-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVORAL",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS038111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.