Individual provider Active NPI

Zina Haratz, D.D.S

  • Dentist
  • Hollywood, FL
National Provider Identifier
1972747608
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 18608 Issued in FL
Practice address
943 Harbor VW S
Hollywood, FL 33019-5057
Phone
(954) 455-3553
NPI assigned
Apr 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 18608 FL Primary

Addresses

Primary practice location

943 Harbor VW S
Hollywood, FL 33019-5057

Mailing address

943 Harbor VW S
Hollywood, FL 33019-5057
Phone (954) 455-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160314000198 FL Order and Referring Only - DentistPractitioner - Dentist 0941506232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 18608FLMDDentist

Networks

  • Freedom Health HMO Network
  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240531200000",
    "number": "1972747608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 HARBOR VW S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330195057",
            "telephone_number": "954-455-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 HARBOR VW S",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330195057",
            "telephone_number": "954-455-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARATZ",
        "first_name": "ZINA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 18608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.