Active NPI
Brooke Ann Zoumbaris, D.D.S.
- Dentist
- Glendale, AZ
National Provider Identifier
1174515472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D7099
- Practice address
- 20100 N 51St Ave Ste D410
Glendale, AZ 85308-5006 - Phone
- (623) 582-5998
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901018880 | MI | |
| Dentist | 122300000X | D7099 | AZ | Primary |
Addresses
Primary practice location
20100 N 51St Ave Ste D410
Glendale, AZ 85308-5006
Mailing address
9172 W Black Hill Rd
Peoria, AZ 85383-5122
Phone (623) 215-2284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D7099 | AZ | MD | Dentist |
| 2901018880 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S.a.S.D PC Dba Desertview Dental Care | Dentist | Past | Accepting new patients |
| Steven C. Chang DDS PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Peoria, AZ
- NPI 1962552521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1174515472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9172 W BLACK HILL RD",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853835122",
"telephone_number": "623-215-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20100 N 51ST AVE STE D410",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085006",
"telephone_number": "623-582-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOUMBARIS",
"first_name": "BROOKE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901018880",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D7099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.