Zumbro Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

D13138 Issued in MN

Legal business name

ZUMBRO FAMILY DENTAL

Practice address

2112 Viking Dr NW
Suite G
Rochester, MN 55901-3522

Phone

(507) 288-1066

NPI assigned

Jul 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Brong, D.D.S

Title

Ceo

Phone

(507) 288-1066

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436832000000",
    "number": "1235513755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 VIKING DR NW",
            "address_2": "SUITE G",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 VIKING DR NW",
            "address_2": "SUITE G",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013522",
            "telephone_number": "507-288-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUMBRO FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2015-07-14",
        "status": "A",
        "authorized_official_last_name": "BRONG",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "507-288-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MN",
            "license": "D13138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Jernej Zorman
• Jason H Zosel, CRNA
• Patricija Zot, MD
• Samira Zukanovic, DNP, APRN, CNP
• Alexandra Jean Zuleger
• Zumbro Valley Endodontics
• Zumbro Valley Health Center
• Zumbro Valley Health Center
• Zumbro Valley Mental Health Center
• Zumbro Valley Mental Health Center

• All providers in Rochester, MN
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.

Verify at the official NPI Registry.