Organization Active NPI

Michael a Zimmerman, DMD, PA

  • Endodontics
  • Spartanburg, SC
National Provider Identifier
1073207536
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Authorized official

Name
Michael Allen Zimmerman, DMDNPI 1194873653
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.