Active NPI
Zydnia Michelle Marrero, D.M.D
- Dentist
- Dallas, TX
National Provider Identifier
1992089163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27463
- Practice address
- 2223 S Buckner Blvd
Dallas, TX 75227-8646 - Phone
- (972) 708-4000
- Fax
- (972) 708-4007
- NPI assigned
- Oct 5, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 27463 | TX | Primary |
Addresses
Primary practice location
2223 S Buckner Blvd
Dallas, TX 75227-8646
Mailing address
12433 Worthington LN
Rhome, TX 76078-6068
Phone (787) 587-6969
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 |
|---|---|---|---|
| 27463 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1992089163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12433 WORTHINGTON LN",
"city": "RHOME",
"state": "TX",
"postal_code": "760786068",
"telephone_number": "787-587-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2223 S BUCKNER BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752278646",
"telephone_number": "972-708-4000",
"fax_number": "972-708-4007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "ZYDNIA",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.