Individual provider Active NPI

Brett Arthur Zimpfer, DDS

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1255488979
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009529A Issued in IN
Practice address
9502 Angola CT
Suite 1
Indianapolis, IN 46268-3177
Phone
(317) 872-3333
Fax
(317) 872-3182
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009529A IN Primary

Addresses

Primary practice location

9502 Angola CT
Suite 1
Indianapolis, IN 46268-3177

Mailing address

9502 Angola CT
Suite 1
Indianapolis, IN 46268-3177
Phone (317) 872-3333

Other identifiers 1

IdentifierTypeStateIssuer
756715OtherINUNITED CONCORDIA

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

LicenseStateTypeSpecialty
12009529AINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brett a Zimpfer, PC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255488979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9502 ANGOLA CT",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683177",
            "telephone_number": "317-872-3333",
            "fax_number": "317-872-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9502 ANGOLA CT",
            "address_2": "SUITE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462683177",
            "telephone_number": "317-872-3333",
            "fax_number": "317-872-3182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMPFER",
        "first_name": "BRETT",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009529A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "756715",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.