Michelle Zhang, DMD – Dentist in Stroudsburg, PA

Key facts

NPI: 1992483952
Entity type: Individual (NPI type 1)
Primary specialty: Dentist 122300000X
License: DS044296 (PA)
Practice address: 1112A N 9TH St
Stroudsburg, PA 18360-1102
Phone: (570) 424-6005
NPI assigned: Jul 10, 2023
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Aspen Dental Associates Nepa, PLLC Dentist · Stroudsburg, PA · NPI 1689901043

NPD (past) DENTIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
DS044296	PA	MD	Dentist

Practice roles

Organization	Specialty	Status	New patients
Aspen Dental Associates Nepa, PLLC	Dentist	Past since Jul 16, 2023	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Dentist	122300000X	DS044296	PA	Yes

Addresses

Primary practice location

1112A N 9TH St
Stroudsburg, PA 18360-1102

Mailing address

1302 Woodmont Dr
Hackettstown, NJ 07840-1884
Phone (407) 314-5049

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 4, 2023.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1992483952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 WOODMONT DR",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401884",
            "telephone_number": "407-314-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112A N 9TH ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601102",
            "telephone_number": "570-424-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS044296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

All providers in Stroudsburg, PA · Dentist in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.