Individual provider Active NPI

Ansam Zaiber, DDS

  • Dentist
  • Woodbridge, VA
National Provider Identifier
1962811950
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401414583 Issued in VA
Practice address
1693 Burntwood CT
Woodbridge, VA 22191-1507
Phone
(202) 431-4884
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401414583 VA Primary

Addresses

Primary practice location

1693 Burntwood CT
Woodbridge, VA 22191-1507

Mailing address

1693 Burntwood CT
Woodbridge, VA 22191-1507

Other names 1

  • Ansam Paulus Former name

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
0401414583VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ansam Zaiber LLC Dentist Current Accepting new patients
Dr. Ansam a Zaiber DDS CurrentSince May 19, 2024 Accepting new patients

Locations

27 S Gateway Dr
Ste 121
Fredericksburg, VA 22406
Phone (540) 322-1244

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": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1962811950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1693 BURNTWOOD CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 BURNTWOOD CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911507",
            "telephone_number": "202-431-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIBER",
        "first_name": "ANSAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANSAM",
            "last_name": "PAULUS",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.