Individual provider Active NPI

Michael Joseph Zingale, D.D.S.

  • General Practice Dentistry
  • Edina, MN
National Provider Identifier
1851320121
Registry record updated Dec 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11500 Issued in MN
Practice address
3930 Sunnyside Rd
Edina, MN 55424-1211
Phone
(952) 929-9131
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11500 MN Primary
Dentist 122300000X DD199 NM

Addresses

Primary practice location

3930 Sunnyside Rd
Edina, MN 55424-1211

Mailing address

6620 Vernon Hills Rd S
Edina, MN 55436-1681
Phone (612) 743-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160308002056 MN Order and Referring Only - DentistPractitioner - Dentist 4880990498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD199NMMDDentist
D11500MNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482624000000",
    "number": "1851320121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 VERNON HILLS RD S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554361681",
            "telephone_number": "612-743-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SUNNYSIDE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241211",
            "telephone_number": "952-929-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINGALE",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D11500",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.