Active NPI
Nikunj R Zalavadia
- Dentist
- Yardley, PA
National Provider Identifier
1912133299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS037902
- Practice address
- 117 Floral Vale Blvd
Yardley, PA 19067-5522 - Phone
- (215) 860-4600
- Fax
- (215) 860-1455
- NPI assigned
- Jun 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS037902 | PA | Primary |
Addresses
Primary practice location
117 Floral Vale Blvd
Yardley, PA 19067-5522
Mailing address
117 Floral Vale Blvd
Yardley, PA 19067-5522
Phone (215) 860-4600
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS037902 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1912133299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675522",
"telephone_number": "215-860-4600",
"fax_number": "215-860-1455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 FLORAL VALE BLVD",
"city": "YARDLEY",
"state": "PA",
"postal_code": "190675522",
"telephone_number": "215-860-4600",
"fax_number": "215-860-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALAVADIA",
"first_name": "NIKUNJ",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-01",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS037902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.