Individual provider Active NPI

Mladen Zekic, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hoover, AL
National Provider Identifier
1881924520
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
5459 Issued in AL
Practice address
5336 Stadium Trace Pkwy
Suite 112
Hoover, AL 35244-4580
Phone
(205) 733-1599
Fax
(205) 733-1590
NPI assigned
Dec 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 5459 AL Primary

Addresses

Primary practice location

5336 Stadium Trace Pkwy
Suite 112
Hoover, AL 35244-4580

Mailing address

5336 Stadium Trace Pkwy
Suite 112
Hoover, AL 35244-4580
Phone (205) 733-1599

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
5459ALMDOrthodontics and Dentofacial Orthopedic Dentist

Interoperability endpoints

  • Direct secure messaging: mlzekic@direct.uabmedicine.org

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1881924520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 STADIUM TRACE PKWY",
            "address_2": "SUITE 112",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444580",
            "telephone_number": "205-733-1599",
            "fax_number": "205-733-1590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 STADIUM TRACE PKWY",
            "address_2": "SUITE 112",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444580",
            "telephone_number": "205-733-1599",
            "fax_number": "205-733-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEKIC",
        "first_name": "MLADEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "5459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.