Daniel S Zavadsky DDS SC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5001095 Issued in WI

Legal business name

DANIEL S ZAVADSKY DDS SC

Practice address

215 N Webb Ave
Reedsburg, WI 53959-1606

Phone

(608) 524-4212

Fax

(608) 524-4212

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel S Zavadsky, DDSNPI 1457401218

Title

Owner President

Phone

(608) 524-4212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel S Zavadsky, D.D.S.

  • General Practice Dentistry
  • Reedsburg, WI
  • NPI 1457401218
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871643635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N WEBB AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591606",
            "telephone_number": "608-524-4212",
            "fax_number": "608-524-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N WEBB AVE",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539591606",
            "telephone_number": "608-524-4212",
            "fax_number": "608-524-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S ZAVADSKY DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZAVADSKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "608-524-4212",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WI",
            "license": "5001095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33547300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corcoran Healthcare Enterprises, Inc (Reedsburg Family Prescription Center)
• Jennifer Lynn Correia, M.A., NCC, LPC
• Brianna M Cotter, MS, LMFT-IT
• Rebecca Lynn Crary, FNP-C
• Colleen Marie Cronin, CRC
• Dean Health Systems, Inc. (Reedsburg Area Medical Specialty Center)
• Dean Health Systems, Inc. (SSM Health Davis Duehr Dean Eye Care - Reedsburg)
• Dean Health Systems, Inc. (Reedsburg Area Medical Specialty Center)
• Maggie Elizabeth Dederich, COTA, LMT
• Lisa Marie Dehn, DPT

• Dental Clinic/Center in Reedsburg, WI
• Providers in Reedsburg, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.