Bonnie Felice Zimble, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN02910 Issued in RI

Practice address

593 Eddy St
Samuels Dental
Providence, RI 02903-4923

Phone

(401) 444-5284

NPI assigned

Nov 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1821169400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "SAMUELS DENTAL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 EDDY ST",
            "address_2": "SAMUELS DENTAL",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034923",
            "telephone_number": "401-444-5284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBLE",
        "first_name": "BONNIE",
        "middle_name": "FELICE",
        "name_prefix": "Ms.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN02910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "BZ61522",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DEN02910",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharyn Zibrida, CRNA
• James William Ziegler, M.D.
• Michele Zielinski, MSED, ATC
• Richard J Zienowicz, MD
• Avery Zierk, MD
• Amanda Zimmer
• Jeffry Shane Zimmer, D.C.
• Jonathan Zimmerman, LCSW
• Bernard Zimmermann, M.D.
• Therese M. Zink, MD

• General Practice Dentistry in Providence, RI
• Providers in Providence, RI by specialty
• General Practice Dentistry in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.