Individual provider Active NPI

Zachary Harris Brumbach, DDS

  • Dentist
  • Post Falls, ID
National Provider Identifier
1649237686
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-8344 Issued in OR
Practice address
609 Calgary CT. Suite 104
Post Falls, ID 83854
Phone
(208) 777-1222
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-8344 OR Primary

Addresses

Primary practice location

609 Calgary CT. Suite 104
Post Falls, ID 83854

Mailing address

609 N Calgary CT Ste 104
Post Falls, ID 83854-4906
Phone (208) 777-1222

Other identifiers 1

IdentifierTypeStateIssuer
5043971OtherOROREGON HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D-8344ORMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brumbach Family Dentistry PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1649237686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N CALGARY CT STE 104",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838544906",
            "telephone_number": "208-777-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CALGARY CT. SUITE 104",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "83854",
            "telephone_number": "208-777-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBACH",
        "first_name": "ZACHARY",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D-8344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH PLAN",
            "identifier": "5043971",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Post Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.