Zimmerman and Kreager

Primary specialty

DentistTaxonomy code 122300000X

License

30.13395 Issued in OH

Legal business name

ZIMMERMAN AND KREAGER

Practice address

11707 W State Route 163
Oak Harbor, OH 43449-9401

Phone

(419) 898-6633

Fax

(419) 898-9909

NPI assigned

Aug 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy Gorton

Title

Office Manager

Phone

(419) 898-6633

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770595423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11707 W STATE ROUTE 163",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434499401",
            "telephone_number": "419-898-6633",
            "fax_number": "419-898-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 W STATE ROUTE 163",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434499401",
            "telephone_number": "419-898-6633",
            "fax_number": "419-898-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN AND KREAGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORTON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-898-6633",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.13395",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.015770",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0405083",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081629",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sue Willing
• Theresa Mae Wilson, RN
• Amber Lynn Wright, PT
• John Joseph Wukie, DO
• Tera M Zimmer
• Christine Nicole Zimmerman-Hall

• Dentist in Oak Harbor, OH
• Providers in Oak Harbor, OH by specialty
• Dentist in Ohio

• 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.