Kimberly Zizic, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019021595 Issued in IL

Practice address

800 S Milwaukee Ave
Suite 103
Libertyville, IL 60048-3254

Phone

(847) 367-6654

NPI assigned

Jul 28, 2008

Last updated

Jul 28, 2008By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kimberly Zizic DDS & Associates

  • Dentist
  • Libertyville, IL
  • NPI 1275620981
  NPD (past) Authorized official

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1205091444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE",
            "address_2": "#103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-367-6654",
            "fax_number": "847-367-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MILWAUKEE AVE",
            "address_2": "SUITE 103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483254",
            "telephone_number": "847-367-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZIC",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward D. Zehr, MSW
• Robert G Zick, M.D.
• Emily M Zieger, DPT
• Bailey Zimmerman
• Amanda M Zimmermann, APN
• Tyler Zoesch, DC
• Alexandra Zoubareva
• Andrea Nicole Zwieg, FNP-C
• Marilyn Abraham Zwirn I, D.O.

• Dentist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.