DR. JOHN THOMAS ZIMMER (NPI# 1467427625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467427625 |
| Entity Type | Individual |
| Full Name | DR. JOHN THOMAS ZIMMER |
| Credential | DDS |
| Practice Address |
100 Lake Traverse Drive Sisseton SD 57262 |
| Practice Telephone | 6057423676 |
| Practice Fax Number | 6057423887 |
| Mailing Telephone | 6057423676 |
| Mailing Fax Number | 6057423887 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2011-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
5382 | NE | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5382 | NE | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982926036 | John C. Zimmer | Chiropractor | 58 Fuller St, Canton, MA 02021-1926 | 2010-02-17 |
| 1285719666 | John Joseph Zimmer | Dentist | 2095 John F Kennedy Rd, Dubuque, IA 52002 | 2006-10-26 |
| 1801986203 | John West Zimmer | Orthopaedic Surgery | 77 Herrick St, Suite 201 The Medical Building, Beverly, MA 01915 | 2006-10-14 |
| 1699754879 | John Zimmer | Family Medicine | 300 W Broadway, Suite 6, Council Bluffs, IA 51503-9045 | 2006-01-16 |
| Street Address |
100 LAKE TRAVERSE DRIVE |
| City | SISSETON |
| State | SD |
| Zip Code | 57262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720634132 | Leah Adele Weiss | Pharmacist | 100 Lake Traverse Drive, Attn: Pharmacy, Sisseton, SD 57262 | 2019-08-12 |
| 1568906808 | Joshua S Satlak | Pharmacist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2016-12-06 |
| 1205278579 | Katie Elaine Bragg | Registered Nurse | 100 Lake Traverse Drive, Wwkmhcc Indian Health Service, Sisseton, SD 57262 | 2013-07-26 |
| 1497070080 | James Brian Moeller | Spec/Tech, Pathology | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2010-04-07 |
| 1619063757 | Valinda Jeanne Redwing White | Nutritionist | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-10-05 |
| 1366471666 | Woodrow Wilson Keeble Memorial Health Care Center | Clinic/Center | 100 Lake Traverse Drive, Sisseton, SD 57262 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780149864 | Lewis Family Drug, LLC | Pharmacy | 925 Sd Hwy 10, Sisseton, SD 57262 | 2019-02-04 |
| 1346734696 | Sisseton-wahpeton Oyate | Private Vehicle | 12554 Bia Hwy 711, Agency Village, SD 57262 | 2018-06-20 |
| 1902106925 | Deborah Pauline Francis | Pharmacist | 1712 Sd Hwy 12, Pamida Pharmacy, Sisseton, SD 57262 | 2010-10-25 |
| 1508001322 | Trina Marie Cleveland | Registered Nurse | 44942 125th Street, Sisseton, SD 57262 | 2008-12-08 |
| 1881102010 | Jasmine Shanae Hypolite | Registered Nurse | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2018-01-23 |
| 1053714360 | Juanita Isabel Jalomo | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2014-09-30 |
| 1215189543 | Michael Price | Nurse Practitioner | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2008-10-17 |
| 1326207291 | Edward Allen Chaney | Dentist | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2008-06-05 |
| 1164524773 | David Rempel | Dentist | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2006-09-03 |
| 1174569669 | Prairie Lakes Health Care Systems Inc. | Clinic/Center | 100 Lake Traverse Dr, Sisseton, SD 57262 | 2006-06-22 |
| Find all providers in zip 57262 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295343119 | Christensen Pediatric Dentistry | Dentist | 6908 S Lyncrest Pl, Sioux Falls, SD 57108-2565 | 2020-07-16 |
| 1043769656 | Jeffrey L Howenstein Dmd Ms PC | Dentist | 711 Sioux Point Rd., Ste. 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| 1205294048 | Stephany Peggy Liu | Dentist | 700 Sheridan Lake Road, Rapid City, SD 57702-2407 | 2016-02-08 |
| 1063770808 | Jeffrey Lawrence Howenstein | Dentist | 711 N Sioux Point Rd, Dakota Dunes, SD 57049-5099 | 2012-04-30 |
| 1538207519 | Kenneth Benusis | Dentist | 812 Columbus St, Rapid City, SD 57701-3541 | 2007-02-02 |
| 1639267925 | Gayle V Nelson | Dentist | 1737 S Cleveland Ave, Sioux Falls, SD 57103-3245 | 2006-10-11 |
| 1235227430 | Jeff Hemmingsen | Dentist | 711 N Sioux Point Rd Ste 100, Dakota Dunes, SD 57049-5067 | 2006-10-11 |
| 1124088166 | Brent J. Bradley | Dentist | 700 Sheridan Lake Rd, Rapid City, SD 57702-2407 | 2006-03-24 |
| 1043213861 | Jb Skibinski | Dentist | 3813 S Kiwanis Cir, Sioux Falls, SD 57105-4266 | 2005-05-24 |
| 1033668645 | Hemmingsen & Howenstein Dd4k LLP | Dentist | 711 Sioux Point Rd., Suite 100, Dakota Dunes, SD 57049 | 2016-09-23 |
| Find all providers with the same taxonomy | ||||
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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.