Kimberly Ann Gretz-Zambruno, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DSO28956L Issued in PA

Practice address

419 N Chestnut St
Scottdale, PA 15683-1001

Phone

(724) 887-6260

Fax

(724) 887-6801

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kgretzzambruno@direct.excelahealth.org

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.

• Dental Surgeons & Associates,Inc.

  • Dentist
  • Scottdale, PA
  • NPI 1114980745
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164574349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N CHESTNUT ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831001",
            "telephone_number": "724-887-6260",
            "fax_number": "724-887-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N CHESTNUT ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831001",
            "telephone_number": "724-887-6260",
            "fax_number": "724-887-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRETZ-ZAMBRUNO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DSO28956L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL",
            "identifier": "006431",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BENEFIT",
            "identifier": "32240",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS",
            "identifier": "122004",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "446180",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019588190001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebekah Gaut
• Daniel Ray Geary, DC
• Gene Cook Supports, LLC
• Jennifer Siwula Gill, DMD
• Rhonda R Gretz Ward, DPM
• Thomas Edward Gretz Jr., DMD
• Thomas Edward Gretz Sr., DDS
• Tara D Hall, CRNP
• Samantha Herdt, CRNP
• Barbara Ann Hoffman, RPH

• Dentist in Scottdale, PA
• Providers in Scottdale, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.