Manal Zaibak, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

S161 Issued in MN

Practice address

116 Elton Hills LN NW
Rochester, MN 55901-3602

Phone

(507) 288-8363

NPI assigned

Mar 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1841795291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ELTON HILLS LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013602",
            "telephone_number": "507-288-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ELTON HILLS LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013602",
            "telephone_number": "507-288-8363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N University Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481091078",
            "country_code": "US",
            "telephone_number": "734-764-9165",
            "fax_number": "734-647-8090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIBAK",
        "first_name": "MANAL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "S161",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Thomas Zack, M.D.
• Robert T Zackery, LICSW
• John Anthony Zadroga, DO
• Katherine M Zahasky, RN, CNP
• Maliha Zahid, M.D.
• Bashar Zaim
• Crystal Lynn Zaim, RN
• Omar Alexander Zaime, MD
• Peyton Zak, RN
• Mark Zakhary, PH.D.

• Endodontics in Rochester, MN
• Providers in Rochester, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.