Zimbi Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D3690 Issued in ID

Legal business name

ZIMBI DENTAL PLLC

Doing business as

Zimbi Dental PLLC

Practice address

1400 E 17TH St
Idaho Falls, ID 83404-6269

Phone

(208) 522-8061

Fax

(208) 522-4535

NPI assigned

Feb 8, 2018

Organization subpart

No

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

Authorized official

Name

Cade G Baldwin, DDS

Title

Owner

Phone

(208) 522-8061

Specialties & licenses 1

Addresses

Other names 1

• Zimbi Dental PLLC Doing business as

Locations

Practitioners 1

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

• G. Van Stosich, D.D.S.

  • General Practice Dentistry
  • Idaho Falls, ID
  • NPI 1336224633
  NPD (past)

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1407355092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046269",
            "telephone_number": "208-522-8061",
            "fax_number": "208-522-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046269",
            "telephone_number": "208-522-8061",
            "fax_number": "208-522-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMBI DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "CADE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-522-8061",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ID",
            "license": "D3690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zimbi Dental PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peggy Lynn Young, NP-C
• Karma Youngstrom, PA-C
• Li Yu, O.M.D.
• Julia Zapadka, LPC
• Michael Zeim, PA-C
• Peter Carl Zimmerman, MD
• Lindsey A Zirker, RD, LD
• Hilary Zitlau
• Spencer Todd Zitzman, PHD, LMFT-S
• Anna L. Zobell, NP-C

• Dental Clinic/Center in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Dental Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; 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.