NPIMap

Organization Active NPI

Tom C. Zimmermann, D.D.S., P.C.

  • General Practice Dentistry
  • West Jordan, UT
National Provider Identifier
1740407709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
136792-9922 Issued in UT
Legal business name
TOM C. ZIMMERMANN, D.D.S., P.C.
Practice address
3855 W 7800 S
Suite 150
West Jordan, UT 84088-5560
Phone
(801) 260-0530
Fax
(801) 260-0533
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tom Charles Zimmermann, D.D.S.NPI 1831316884
Title
President
Phone
(801) 260-0530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 136792-9922 UT Primary

Addresses

Primary practice location

3855 W 7800 S
Suite 150
West Jordan, UT 84088-5560

Mailing address

3855 W 7800 S
Suite 150
West Jordan, UT 84088-5560
Phone (801) 260-0530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740407709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 W 7800 S",
            "address_2": "SUITE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885560",
            "telephone_number": "801-260-0530",
            "fax_number": "801-260-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 W 7800 S",
            "address_2": "SUITE 150",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885560",
            "telephone_number": "801-260-0530",
            "fax_number": "801-260-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM C. ZIMMERMANN, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMANN",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-260-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "136792-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.