Active NPI
Dawn M Zimdars
- Massage Therapist
- Mount Airy, NC
National Provider Identifier
1295452431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19745
- Practice address
- 1010 S Main St
Mount Airy, NC 27030-4730 - Phone
- (336) 467-6426
- NPI assigned
- Oct 27, 2022
- Last updated
- Oct 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19745 | NC | Primary |
Addresses
Primary practice location
1010 S Main St
Mount Airy, NC 27030-4730
Mailing address
153 Ezekiels Way
Low Gap, NC 27024
Phone (336) 467-6426
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19745 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1295452431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 EZEKIELS WAY",
"city": "LOW GAP",
"state": "NC",
"postal_code": "27024",
"telephone_number": "336-467-6426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S MAIN ST",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304730",
"telephone_number": "336-467-6426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMDARS",
"first_name": "DAWN",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "19745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.