Organization Active NPI

Brian Zirngible, LLC

  • Community/Behavioral Health Agency
  • Burnsville, MN
National Provider Identifier
1457718041
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2154 Issued in MN
Legal business name
BRIAN ZIRNGIBLE, LLC
Practice address
1500 McAndrews Rd W
Burnsville, MN 55337-4432
Phone
(952) 892-1200
Fax
(952) 892-1722
NPI assigned
Jan 27, 2016
Organization subpart
Yes
Parent organization
BRIAN ZIRNGIBLE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Brian Zirngible, M.A., L.M.F.T.
Title
Owner
Phone
(952) 892-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2154 MN Primary

Addresses

Primary practice location

1500 McAndrews Rd W
Burnsville, MN 55337-4432

Mailing address

1500 McAndrews Rd W
Burnsville, MN 55337-4432

Other identifiers 1

IdentifierTypeStateIssuer
587607200MedicaidMN

National Provider Directory

National Provider Directory
Tax ID family
Both and Resources PLLC2 organizations share this tax ID, including this one
Part of
Both and Resources PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 McAndrews Rd W
Burnsville, MN 55337
Phone (651) 328-9831

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1457718041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MCANDREWS RD W",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374432",
            "telephone_number": "952-892-1200",
            "fax_number": "952-892-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN ZIRNGIBLE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRIAN ZIRNGIBLE, LLC",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "ZIRNGIBLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-892-1200",
        "authorized_official_credential": "M.A., L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "2154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587607200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.