Henry Edward Zimmermann, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001783-015 Issued in WI

Practice address

190 Gardner Ave
Suite 7
Burlington, WI 53105-2160

Phone

(262) 763-7005

Fax

(262) 763-7545

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336253087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GARDNER AVE",
            "address_2": "SUITE 7",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052160",
            "telephone_number": "262-763-7005",
            "fax_number": "262-763-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GARDNER AVE",
            "address_2": "SUITE 7",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531052160",
            "telephone_number": "262-763-7005",
            "fax_number": "262-763-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "HENRY",
        "middle_name": "EDWARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001783-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Joseph Wright, MS, PA-C
• Debra Wunder, PHARM. D.
• Cynthia L Wuttke, PT
• Kathleen Yoder, LCSW
• Catherine Eileen Zimmermann, DDS

• General Practice Dentistry in Burlington, WI
• Providers in Burlington, WI by specialty
• General Practice Dentistry in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.