Organization Active NPI

Zimzim & Issa PLLC

  • General Practice Dentistry
  • Austin, TX
National Provider Identifier
1306401609
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZIMZIM & ISSA PLLC
Practice address
11330 Manchaca Rd
Austin, TX 78748-2879
Phone
(737) 717-3500
NPI assigned
May 2, 2019
Organization subpart
Yes
Parent organization
PEAK DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Mrs. Josie Cruz
Title
Office Manager
Phone
(737) 717-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

11330 Manchaca Rd
Austin, TX 78748-2879

Mailing address

1610 E Parmer LN Ste E
Austin, TX 78753-7143
Phone (737) 717-3500

Other names 1

  • Peak Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Peak Dental

Locations

11330 Menchaca Rd
Austin, TX 78748
Phone (737) 717-3500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1306401609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E PARMER LN STE E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787537143",
            "telephone_number": "737-717-3500",
            "fax_number": "737-202-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 MANCHACA RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787482879",
            "telephone_number": "737-717-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMZIM & ISSA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEAK DENTAL",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "JOSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "737-717-3500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peak Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.