Organization Active NPI

Zimmerman Family Dental

  • General Practice Dentistry
  • Emmetsburg, IA
National Provider Identifier
1144487992
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08477 Issued in IA
Legal business name
ZIMMERMAN FAMILY DENTAL
Practice address
2211 10TH St
Emmetsburg, IA 50536-2461
Phone
(712) 852-3777
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Kimberly Rae Zimmerman, D.D.S.NPI 1881891778
Title
Dentist
Phone
(712) 852-3777

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 08477 IA Primary

Addresses

Primary practice location

2211 10TH St
Emmetsburg, IA 50536-2461

Mailing address

3104 8TH St
Emmetsburg, IA 50536-2715
Phone (319) 400-3335

National Provider Directory

National Provider Directory

Locations

2211 10th St
Emmetsburg, IA 50536
Phone (319) 400-3335

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1144487992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 8TH ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362715",
            "telephone_number": "319-400-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 10TH ST",
            "city": "EMMETSBURG",
            "state": "IA",
            "postal_code": "505362461",
            "telephone_number": "712-852-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "712-852-3777",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmetsburg, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.