Active NPI
Zakory Mitchel Dippold
- Attendant Care Provider
- Flint, MI
National Provider Identifier
1972162287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Practice address
- 2284 S Ballenger Hwy
Flint, MI 48503-3446 - Phone
- (810) 221-7871
- NPI assigned
- Jun 10, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary |
Addresses
Primary practice location
2284 S Ballenger Hwy
Flint, MI 48503-3446
Mailing address
5437 Maple Park Dr
Flint, MI 48507-3902
Phone (810) 471-1995
Other practice location 1
2284 S Ballenger Hwy
Flint, MI 48503-3446
Phone (810) 221-7871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1972162287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5437 MAPLE PARK DR",
"city": "FLINT",
"state": "MI",
"postal_code": "485073902",
"telephone_number": "810-471-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2284 S BALLENGER HWY",
"city": "FLINT",
"state": "MI",
"postal_code": "485033446",
"telephone_number": "810-221-7871"
}
],
"practiceLocations": [
{
"address_1": "2284 S Ballenger Hwy",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485033446",
"country_code": "US",
"telephone_number": "810-221-7871",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIPPOLD",
"first_name": "ZAKORY",
"middle_name": "MITCHEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.