Individual provider Active NPI

Rachel Zimmerer, DDS

  • Dentist
  • Arlington, TX
National Provider Identifier
1568844165
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31879 Issued in TX
Practice address
725 N Fielder Rd
Arlington, TX 76012-4636
Phone
(817) 275-4817
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31879 TX Primary

Addresses

Primary practice location

725 N Fielder Rd
Arlington, TX 76012-4636

Mailing address

4051 Travis St Apt D
Dallas, TX 75204-7563
Phone (940) 768-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831002061 TX Order and Referring Only - DentistPractitioner - Dentist 1052607033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31879TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1568844165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 TRAVIS ST APT D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752047563",
            "telephone_number": "940-768-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124636",
            "telephone_number": "817-275-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERER",
        "first_name": "RACHEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.