Nicholas M Zanakos Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14010 Issued in FL

Practice address

4161 Tamiami TRL Ste 604
Port Charlotte, FL 33952-9283

Phone

(941) 255-8500

Fax

(941) 255-8503

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1891750683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 W BOY SCOUT BLVD STE 1100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075796",
            "telephone_number": "813-288-6264",
            "fax_number": "813-289-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL STE 604",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529283",
            "telephone_number": "941-255-8500",
            "fax_number": "941-255-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANAKOS",
        "first_name": "NICHOLAS",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071320100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mirian Yser Fernanadez
• Frederick Rodrigo Yturralde, M.D.
• Hany Margarita Zaballa Perera
• Nader A Zaidi, M.D.
• Vladislav Zalevskiy
• Jack Zarling, CRNA
• Ashton Michael Zeher, EMT
• Michelle Zharkov
• Daphnee Zidor
• Emily Rose Zielenski, APRN

• General Practice Dentistry in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.