Active NPI
Wayne A. Zipperlen, DDS
- Dentist
- Canal Winchester, OH
National Provider Identifier
1871509877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14874
- Practice address
- 11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585 - Phone
- (614) 837-6688
- Fax
- (614) 834-4555
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- 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 | 14874 | OH | Primary |
Addresses
Primary practice location
11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Mailing address
11925 Lithopolis Rd NW
Canal Winchester, OH 43110-9585
Phone (614) 837-6688
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14874 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1871509877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11925 LITHOPOLIS RD NW",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431109585",
"telephone_number": "614-837-6688",
"fax_number": "614-834-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11925 LITHOPOLIS RD NW",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431109585",
"telephone_number": "614-837-6688",
"fax_number": "614-834-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIPPERLEN",
"first_name": "WAYNE",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "14874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.