Zimin Family Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZIMIN FAMILY DENTAL LLC

Practice address

2601 Boniface Pkwy Ste 3
Anchorage, AK 99504-3144

Phone

(907) 333-9591

NPI assigned

Jan 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Kameron Shea Zimin, DMDNPI 1538658398

Title

Owner

Phone

(907) 952-2502

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Kameron Shea Zimin, DMD

  • Dentist
  • Bethel, AK
  • NPI 1538658398
  NPD Authorized official

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1447966767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BONIFACE PKWY STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043144",
            "telephone_number": "907-333-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BONIFACE PKWY STE 3",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995043144",
            "telephone_number": "907-333-9591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Gambell St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995032838",
            "country_code": "US",
            "telephone_number": "907-276-7633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZIMIN FAMILY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "ZIMIN",
        "authorized_official_first_name": "KAMERON",
        "authorized_official_middle_name": "SHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-952-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1685809",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mattisen Rose Sept Ziegler, FNP-C
• David K Zielke, MD
• Javiera Ziemer
• Michelle Mae Ziemer
• Lonney Jacob Zilles
• Laurie Eileen Zimmer, MD
• Teresa Kay Zimmer, RN
• Phillip Zimmerly
• Daniel Zimmerman
• Grace Abigail Zimmerman

• Dental Clinic/Center in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.