Individual provider Active NPI

William H Zovickian, DDS

  • General Practice Dentistry
  • Sharon, CT
National Provider Identifier
1962555375
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4548 Issued in CT
Practice address
57 Main St
Sharon, CT 06069-2018
Phone
(860) 364-0204
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4548 CT Primary

Addresses

Primary practice location

57 Main St
Sharon, CT 06069-2018

Mailing address

57 Main St
Sharon, CT 06069-2018
Phone (860) 364-0204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20150625002539 CT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7012228489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4548CTMDSchool Social Worker
004548CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Dental Associates LLC General Practice Past Accepting new patients
William H. Zovickian, DDS General Practice 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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1962555375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MAIN ST",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692018",
            "telephone_number": "860-364-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MAIN ST",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692018",
            "telephone_number": "860-364-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOVICKIAN",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "4548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharon, CT

Sources for this page

Verify at the official NPI Registry.