Marina A Zigelman, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12374 Issued in MN

Practice address

3152 Minnehaha Ave
Minneapolis, MN 55406-2774

Phone

(612) 728-8888

Fax

(612) 724-2737

NPI assigned

Aug 23, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Family Dental Care of S MPLS PA

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1831261510
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1932392834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062774",
            "telephone_number": "612-728-8888",
            "fax_number": "612-724-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 MINNEHAHA AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062774",
            "telephone_number": "612-728-8888",
            "fax_number": "612-724-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGELMAN",
        "first_name": "MARINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "43-1983317",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordynn B Zier
• Judith L Zier, M.D.
• Heather Zierhut, M.S.
• John William Zieske, RN
• Larry A. Zieske, M.D.
• Kyle Zigelsky, PA-C
• Mary Rose Zika, L.I.C.S.W.
• Peter Zimbwa, MD
• Nichole Zimdars, NNP-BC
• Nicholas Zimet, L.AC.

• General Practice Dentistry in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.