Organization Active NPI

Zirker Family Dentistry

  • Dentist
  • Ammon, ID
National Provider Identifier
1790797157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ZIRKER FAMILY DENTISTRY
Practice address
1801 S Ammon Rd
Ammon, ID 83406-6860
Phone
(208) 528-7665
Fax
(208) 522-9556
NPI assigned
Aug 13, 2006
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
Jed K Zirker, DMDNPI 1124184817
Title
Dentist
Phone
(208) 528-7665

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1801 S Ammon Rd
Ammon, ID 83406-6860

Mailing address

1801 S Ammon Rd
Ammon, ID 83406-6860
Phone (208) 528-7665

National Provider Directory

National Provider Directory
Tax ID family
Zirker Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1801 S Ammon Rd
Ammon, ID 83406
Phone (208) 528-7665

Practitioners & affiliated clinicians

Practitioners 2

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": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790797157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S AMMON RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066860",
            "telephone_number": "208-528-7665",
            "fax_number": "208-522-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S AMMON RD",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066860",
            "telephone_number": "208-528-7665",
            "fax_number": "208-522-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIRKER FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIRKER",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "208-528-7665",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

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.