Individual provider Active NPI

Nancy L. Zeis, DDS

  • General Practice Dentistry
  • Bloomington, MN
National Provider Identifier
1285949669
Registry record updated Oct 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D12838 Issued in MN
Practice address
5129 W 98TH St
Bloomington, MN 55437-2040
Phone
(952) 835-5082
NPI assigned
Aug 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2015

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 D12838 MN Primary

Addresses

Primary practice location

5129 W 98TH St
Bloomington, MN 55437-2040

Mailing address

5129 W 98TH St
Bloomington, MN 55437-2040
Phone (952) 835-5082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180312001740 MN Order and Referring Only - DentistPractitioner - Dentist 4284996174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D12838MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443744000000",
    "number": "1285949669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 W 98TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372040",
            "telephone_number": "952-835-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5129 W 98TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554372040",
            "telephone_number": "952-835-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEIS",
        "first_name": "NANCY",
        "middle_name": "L.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-10",
        "last_updated": "2015-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.