Individual provider Active NPI

Maurice Christian Zaepfel II, D.M.D.

  • Dentist
  • Columbus, OH
National Provider Identifier
1932259207
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.025311 Issued in OH
Practice address
4044 Morse Rd
Columbus, OH 43230-1448
Phone
(614) 473-0400
Fax
(913) 752-9116
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5037 KY
Dentist 122300000X 12010015A IN
Dentist 122300000X 30.025311 OH Primary

Addresses

Primary practice location

4044 Morse Rd
Columbus, OH 43230-1448

Mailing address

1523 State St
New Albany, IN 47150
Phone (812) 944-9929

Other practice location 1

4420 Dixie Hwy Ste 110
Louisville, KY 40216-2986
Phone (502) 447-3323

Other practice location 2

1523 State St
New Albany, IN 47150
Phone (812) 944-9929

Other identifiers 1

IdentifierTypeStateIssuer
200433910MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20170405001289 IN Order and Referring Only - DentistPractitioner - Dentist 8820374820

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12010015AINMDDentist
5037KYMDDentist
30.025311OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodside Dental Center LLC Dentist Past Accepting new patients
Dental Services of Ohio Dentist Past Accepting new patients

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932259207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 STATE ST",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "47150",
            "telephone_number": "812-944-9929",
            "fax_number": "812-948-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 MORSE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432301448",
            "telephone_number": "614-473-0400",
            "fax_number": "913-752-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Dixie Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162986",
            "country_code": "US",
            "telephone_number": "502-447-3323",
            "fax_number": "913-752-9116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 State St",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "IN",
            "postal_code": "47150",
            "country_code": "US",
            "telephone_number": "812-944-9929",
            "fax_number": "812-948-1835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAEPFEL",
        "first_name": "MAURICE",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5037",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010015A",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200433910",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.