Individual provider Active NPI

Amy Lynn Zinn, DDS

  • General Practice Dentistry
  • Minnetonka, MN
National Provider Identifier
1972872844
Registry record updated Dec 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12997 Issued in MN
Practice address
17821 Highway 7 Ste 2F
Minnetonka, MN 55345-4123
Phone
(952) 474-5622
NPI assigned
Dec 22, 2011
Last updated
Dec 19, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2017

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 12997 MN Primary

Addresses

Primary practice location

17821 Highway 7 Ste 2F
Minnetonka, MN 55345-4123

Mailing address

17821 Highway 7 Ste 2F
Minnetonka, MN 55345-4123
Phone (952) 474-5622

Other names 1

  • Amy Lynn Brennan Former name

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
I20160121001970 MN Order and Referring Only - DentistPractitioner - Dentist 4587967773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12997MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PDG, P.a. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513641600000",
    "number": "1972872844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17821 HIGHWAY 7 STE 2F",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454123",
            "telephone_number": "952-474-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17821 HIGHWAY 7 STE 2F",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454123",
            "telephone_number": "952-474-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINN",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2017-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BRENNAN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.