Individual provider Active NPI

William Gerald Ziecina, D.D.S.

  • General Practice Dentistry
  • Macomb, MI
National Provider Identifier
1972541506
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901018624 Issued in MI
Practice address
20377 Hall Rd
Macomb, MI 48044-4230
Phone
(586) 412-3690
NPI assigned
Jun 4, 2006
Last updated
Jan 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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 2901018624 MI Primary

Addresses

Primary practice location

20377 Hall Rd
Macomb, MI 48044-4230

Mailing address

20377 Hall Rd
Macomb, MI 48044-4230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160603000769 MI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1557651569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901018624MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William G. Ziecina, D.D.S., P.C. Current Accepting new patients
David M Kolakowski DDS PC General Practice PastSince Jul 12, 2020 Accepting new patients
Tye Family Dentistry PLLC PastSince Dec 10, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1972541506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20377 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20377 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444230",
            "telephone_number": "586-412-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIECINA",
        "first_name": "WILLIAM",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901018624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.