Erik James Zundo, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12011958A Issued in IN

Practice address

1827 Northwestern Ave
West Lafayette, IN 47906-2279

Phone

(765) 463-5200

NPI assigned

May 29, 2013

Last updated

Feb 4, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Erik Zundo DDS LLC

  • Dentist
  • West Lafayette, IN
  • NPI 1427470764
  NPD (past) Authorized official
• John D. Folkers, D.D.S., P.C.

  • Dentist
  • W Lafayette, IN
  • NPI 1346302874
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1861839094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 NORTHWESTERN AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062279",
            "telephone_number": "765-463-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 NORTHWESTERN AVE",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479062279",
            "telephone_number": "765-463-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUNDO",
        "first_name": "ERIK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12011958A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shi Han Zhang, BS
• James Zhou
• Alan Zillich, PHARM.D.
• Laura J Zimmerman, LCSW
• Travis Zinck

• General Practice Dentistry in West Lafayette, IN
• Providers in West Lafayette, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.