Garydeanzuck, DDS,PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4570 Issued in KS

Legal business name

GARYDEANZUCK, DDS,PA

Practice address

4121 W 83Rd St
Suite 200
Prairie Village, KS 66208-5300

Phone

(913) 381-2400

Fax

(913) 381-2564

NPI assigned

Mar 23, 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

Dr. Gary Dean Zuck, DDS

Title

President

Phone

(913) 381-2400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881711083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST",
            "address_2": "SUITE 200",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085300",
            "telephone_number": "913-381-2400",
            "fax_number": "913-381-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 W 83RD ST",
            "address_2": "SUITE 200",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085300",
            "telephone_number": "913-381-2400",
            "fax_number": "913-381-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARYDEANZUCK, DDS,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUCK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-381-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Agnes Freeman, RN
• Kimberly Fryer
• Marissa Fu
• Natalla Fuentes
• Janean Nadine Gardea- Guerrero, RD, LD
• Morgan N. Gersch
• Kayla M Gibbs, PTA
• Alexandra K Gier, D.D.S.
• Pardeep Kaur Gill, DMD
• Lisa S Gilmer, MD

• General Practice Dentistry in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• General Practice Dentistry in Kansas

• 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.