DR. BRUCE JOHN ZIMMERMAN (NPI# 1366427825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366427825 |
| Entity Type | Individual |
| Full Name | DR. BRUCE JOHN ZIMMERMAN |
| Credential | DDS |
| Practice Address |
1155 Kelly Johnson Blvd Suite 210 Colorado Springs CO 80920-3932 |
| Practice Telephone | 7195939100 |
| Practice Fax Number | 7195939101 |
| Mailing Telephone | 7195939100 |
| Mailing Fax Number | 7195939101 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 104358 | CO | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02043586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841297934 | Bruce E Zimmerman | Otolaryngology | 20375 W. 151st St, Suite 106a, Olathe, KS 66061-5353 | 2005-07-05 |
| Street Address |
1155 KELLY JOHNSON BLVD SUITE 210 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922565480 | Alicia Vashti Jacobson | Behavior Technician | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2019-02-20 |
| 1538659784 | Janessa Ybarra | Behavior Technician | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2018-05-14 |
| 1215443619 | Lynn M Gilbert | Behavior Technician | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2017-12-20 |
| 1790219947 | Shirlane Diane Winburn | Behavioral Analyst | 1155 Kelly Johnson Blvd, Ste 150, Colorado Springs, CO 80920-3932 | 2017-04-14 |
| 1346787181 | Shadow Mountain Recovery | Clinic/Center | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2017-01-31 |
| 1881131852 | Mustard Seed Healthcare Consulting, LLC | Ambulance | 1155 Kelly Johnson Blvd, Suite 111, Colorado Springs, CO 80920-3932 | 2017-01-27 |
| 1245682053 | Joy Warrington | Behavioral Analyst | 1155 Kelly Johnson Blvd, 150, Colorado Springs, CO 80920-3932 | 2016-07-05 |
| 1275997256 | Caitlyn Canfield | Behavioral Analyst | 1155 Kelly Johnson Blvd, 150, Colorado Springs, CO 80920-3932 | 2016-04-06 |
| 1184081663 | Paula Adams Adams | Behavioral Analyst | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2016-01-28 |
| 1851769152 | Teague Gearhart | Podiatrist | 1155 Kelly Johnson Blvd, Colorado Springs, CO 80920-3932 | 2015-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659979375 | Kyle Richardson | Dentist | 5865 Lehman Dr Ste 200, Colorado Springs, CO 80918-3412 | 2020-10-14 |
| 1740751460 | Audubon Dental Sleep Solutions LLC | Dentist | 2960 N Circle Dr Ste 105, Colorado Springs, CO 80909-1163 | 2018-12-06 |
| 1053898437 | Lorraine Julienne Labayen | Dentist | 7795 Dublin Blvd, Colorado Springs, CO 80923-7592 | 2018-07-27 |
| 1780178442 | Denise Ivonne Clare | Dentist | 4451 Venetucci Blvd Unit 160, Colorado Springs, CO 80906-4056 | 2018-06-17 |
| 1780185462 | Kenneth C. Pollary Dds Pllc | Dentist | 3204 N Academy Blvd Ste 210, Colorado Springs, CO 80917-5163 | 2018-02-27 |
| 1881119220 | Egbert and Stilson Dental Pllc | Dentist | 9235 N Union Blvd Ste 170, Colorado Springs, CO 80920-7833 | 2017-08-07 |
| 1942752837 | Robert Kemp Van Wagenen | Dentist | 5944 Huerfano Dr, Colorado Springs, CO 80923-3437 | 2016-10-26 |
| 1477005494 | Preferred Dental | Dentist | 5752 Palmer Park Blvd, Colorado Springs, CO 80915-1511 | 2016-10-25 |
| 1306396551 | Rota Advanced Dental Care | Dentist | 6210 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2016-10-12 |
| 1891248506 | Nicholas Allan Wyatt | Dentist | 685 Citadel Dr E Ste 302, Colorado Springs, CO 80909-5316 | 2016-07-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.