Individual provider Active NPI

Jared Zimmerman, DDS

  • General Practice Dentistry
  • Newton, KS
National Provider Identifier
1841603602
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61104 Issued in KS
Practice address
805 Medical Center Dr
Newton, KS 67114-7807
Phone
(316) 804-7785
Fax
(316) 283-1333
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61104 KS Primary

Addresses

Primary practice location

805 Medical Center Dr
Newton, KS 67114-7807

Mailing address

720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-6103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210120002581 KS Practitioner - Dentist 8224442942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61104KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Health Ministries Clinic, Inc. CurrentSince Oct 21, 2020 Accepting new patients
Health Ministries Clinic, Inc CurrentSince Oct 21, 2020 Accepting new patients

Locations

126 Main St
Halstead, KS 67056
Phone (316) 835-3700

805 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

209 S Pine St
Newton, KS 67114
Phone (316) 283-6103

215 S Pine St
Newton, KS 67114
Phone (316) 283-4400

720 Medical Center Dr
Newton, KS 67114
Phone (316) 283-6103

Organizations & group practices 2

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1841603602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671148778",
            "telephone_number": "316-283-6103",
            "fax_number": "316-283-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 MEDICAL CENTER DR",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671147807",
            "telephone_number": "316-804-7785",
            "fax_number": "316-283-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "JARED",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, KS

Sources for this page

Verify at the official NPI Registry.