Active NPI
Michael a Zimmerman, DMD, PA
- Endodontics
- Spartanburg, SC
National Provider Identifier
1073207536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- MICHAEL A ZIMMERMAN, DMD, PA
- Practice address
- 127 Southport Road
Spartanburg, SC 29306-3815 - Phone
- (864) 595-1203
- Fax
- (864) 336-2992
- NPI assigned
- Jun 7, 2023
- Last updated
- Jun 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Allen Zimmerman, DMD
- Title
- Dentist/Owner
- Phone
- (864) 595-1203
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | NU | Primary |
Addresses
Primary practice location
127 Southport Road
Spartanburg, SC 29306-3815
Mailing address
127 Southport Road
Spartanburg, SC 29306-3815
Phone (864) 595-1203
National Provider Directory
National Provider DirectoryLocations
127 Southport Rd
Spartanburg, SC 29306
Phone (864) 595-1203
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Endodontics
- Spartanburg, SC
- NPI 1194873653
-
- General Practice Dentistry
- Spartanburg, SC
- NPI 1346779402
-
- Dentist
- Spartanburg, SC
- NPI 1467608711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1073207536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 SOUTHPORT ROAD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063815",
"telephone_number": "864-595-1203",
"fax_number": "864-336-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 SOUTHPORT ROAD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293063815",
"telephone_number": "864-595-1203",
"fax_number": "864-336-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A ZIMMERMAN, DMD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "864-595-1203",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.