Active NPI
Paige E. Zellerbach, DDS
- Dentist
- Riverside, CA
National Provider Identifier
1861705105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48458
- Practice address
- 6886 Indiana Ave
Riverside, CA 92506-4218 - Phone
- (951) 282-4004
- NPI assigned
- Jul 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 48458 | CA | Primary |
Addresses
Primary practice location
6886 Indiana Ave
Riverside, CA 92506-4218
Mailing address
6886 Indiana Ave
Riverside, CA 92506-4218
Phone (951) 282-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723009642 | CA | Order and Referring Only - Dentist | 9537472212 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48458 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1861705105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6886 INDIANA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064218",
"telephone_number": "951-282-4004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6886 INDIANA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064218",
"telephone_number": "951-282-4004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELLERBACH",
"first_name": "PAIGE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.