Individual provider Active NPI

Omar Michael Zarou, D.D.S.

  • Dentist
  • Lakewood Ranch, FL
National Provider Identifier
1871789461
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15525 Issued in FL
Practice address
6207 Burrowing Owl CV
Lakewood Ranch, FL 34202-6334
Phone
(616) 956-0292
Fax
(616) 956-3251
NPI assigned
Sep 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D17299 MI
Dentist 122300000X DN15525 FL Primary

Addresses

Primary practice location

6207 Burrowing Owl CV
Lakewood Ranch, FL 34202-6334

Mailing address

6207 Burrowing Owl CV
Lakewood Ranch, FL 34202-6334
Phone (616) 956-0292

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

LicenseStateTypeSpecialty
DN15525FLMDDentist
D17299MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Expressions Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1871789461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 BURROWING OWL CV",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026334",
            "telephone_number": "616-956-0292",
            "fax_number": "616-956-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 BURROWING OWL CV",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026334",
            "telephone_number": "616-956-0292",
            "fax_number": "616-956-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAROU",
        "first_name": "OMAR",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "D17299",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.