Kimberly Zizic DDS & Associates

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KIMBERLY ZIZIC DDS & ASSOCIATES

Practice address

800 S Milwaukee Ave
#103
Libertyville, IL 60048

Phone

(847) 367-6654

Fax

(847) 367-6671

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Zizic, DDSNPI 1205091444

Title

Pres

Phone

(847) 367-6654

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Zizic, DDS

  • Dentist
  • Libertyville, IL
  • NPI 1205091444
  NPD (past) Authorized official
• Robert Salata, DDS

  • Dentist
  • Libertyville, IL
  • NPI 1194971325
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275620981",
    "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": "#103",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "60048",
            "telephone_number": "847-367-6654",
            "fax_number": "847-367-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY ZIZIC DDS & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIZIC",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "847-367-6654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ginna J Kim, CRNA
• Noah Euisub Kim
• Peter Kim, DDS
• Ronald J Kim, M.D
• Kimberly a. Kick, LCSW & Associates, LTD. (Libertyville Insight & Behavioral Center)
• Kind Word Speech Pathology
• Peggy Kirkpatrick, P.T.
• Eric Kirshenbaum, M.D.
• Amanda Klein
• Avery Lucille Klein

• 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 Aug 22, 2020; 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.