Mary Michelle Zelenak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017929 Issued in MI

Practice address

24116 Greater Mack Ave
Saint Clair Shores, MI 48080-1410

Phone

(586) 773-9840

Fax

(586) 773-9958

NPI assigned

Dec 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Shoreside Family Dental, P.L.C.

  • General Practice Dentistry
  • Saint Clair Shores, MI
  • NPI 1467474320
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861554727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24116 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801410",
            "telephone_number": "586-773-9840",
            "fax_number": "586-773-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24116 GREATER MACK AVE",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480801410",
            "telephone_number": "586-773-9840",
            "fax_number": "586-773-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELENAK",
        "first_name": "MARY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zanoni Chiropractic Center PC
• Joseph Zanoni, D.C., R.PH.
• Nicole Marie Zarucki, ATC
• Catherine Zatkoff, MA, LPC
• Takeisha Latrice Zeigler, REGISTERED NURSE
• Michael Joseph Zemenick
• Amer Mohamed Zeni, MD
• Natalya Starr Zerka, TLLP
• Janaina Matteussi Zilli, MD
• Christopher N Zingas, MD

• General Practice Dentistry in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.