Active NPI
Tracy A. Zang, D.D.S.
- General Practice Dentistry
- Moundsville, WV
National Provider Identifier
1962935296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- WV3738
- Practice address
- 112 Correctional Dr.
Northern Regional Correctional Facility
Moundsville, WV 26041 - Phone
- (304) 843-4084
- Fax
- (304) 843-4089
- NPI assigned
- Apr 4, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | WV3738 | WV | Primary |
Addresses
Primary practice location
112 Correctional Dr.
Northern Regional Correctional Facility
Moundsville, WV 26041
Mailing address
501 Holiday Dr
Foster Plaza Four
Pittsburgh, PA 15220-2749
Phone (888) 633-6468
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 |
|---|---|---|---|
| WV3738 | WV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1962935296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 HOLIDAY DR",
"address_2": "FOSTER PLAZA FOUR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152202749",
"telephone_number": "888-633-6468",
"fax_number": "412-937-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 CORRECTIONAL DR.",
"address_2": "NORTHERN REGIONAL CORRECTIONAL FACILITY",
"city": "MOUNDSVILLE",
"state": "WV",
"postal_code": "26041",
"telephone_number": "304-843-4084",
"fax_number": "304-843-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANG",
"first_name": "TRACY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "WV3738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moundsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.