Zimmerman Family Dentistry Acquisition, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ZIMMERMAN FAMILY DENTISTRY ACQUISITION, PLLC

Practice address

1213 Broad Ave
Gulfport, MS 39501-2475

Phone

(228) 863-5171

Fax

(228) 863-5233

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Lorie L Kinsey

Title

Front Desk Manager

Phone

(228) 863-5171

Specialties & licenses 1

Addresses

Other names 1

• Zimmerman Family Dentistry Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeff Michael Zimmerman, DDS

  • General Practice Dentistry
  • Pass Christian, MS
  • NPI 1871732586
  NPD

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1538949755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012475",
            "telephone_number": "228-863-5171",
            "fax_number": "228-863-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012475",
            "telephone_number": "228-863-5171",
            "fax_number": "228-863-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13165 Vidalia Rd",
            "address_purpose": "LOCATION",
            "city": "Pass Christian",
            "state": "MS",
            "postal_code": "395719162",
            "country_code": "US",
            "telephone_number": "228-255-4355",
            "fax_number": "228-255-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ZIMMERMAN FAMILY DENTISTRY ACQUISITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "KINSEY",
        "authorized_official_first_name": "LORIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FRONT DESK MANAGER",
        "authorized_official_telephone_number": "228-863-5171",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zimmerman Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Thinn Zaw, MD, MPH
• Lena Zee, R.D.
• Alyssa Morgan Zelenka
• Ismin Zen, MD
• Lauren Elizabeth Zezenski
• Elizabeth Boehm Zimmerman
• Brooke Wilke Zinn, DPT
• Kellylynn Zuni, PHD

• Dental Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Dental Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.