FORT WAYNE PROSTHODONTICS, INC.
NPI 1447713219
Dentist - Prosthodontics in Fort Wayne, IN

Q: What is Fort Wayne Prosthodontics, Inc.'s NPI number?

The NPI number for Fort Wayne Prosthodontics, Inc. is 1447713219. It was assigned to this organization in the NPPES registry on April 9, 2019. The provider was formerly known as Ryan Zimmerman Dds Inc.

Q: What is Fort Wayne Prosthodontics, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since April 09, 2019

4205 HOBSON CT, FORT WAYNE, IN 46815(260) 486-8778 Get Directions Write a Review

NPPES record last updated: September 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2020, Aug 28, 2019, May 7, 2019 and 1 more (4 updates tracked since 2019).

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About Fort Wayne Prosthodontics, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORT WAYNE PROSTHODONTICS, INC. (NPI 1447713219), doing business as Ryan Zimmerman Dds Inc, is a healthcare organization registered as a prosthodontics in Fort Wayne, Indiana and active in the NPI registry since April 2019. The organization lists Kellie Jae Brower, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1447713219

Entity TypeOrganization

Primary Taxonomy1223P0700X

Legal Business NameFORT WAYNE PROSTHODONTICS, INC.

Location Address4205 HOBSON CTFort Wayne, IN 46815-8648

Mailing Address4205 Hobson CtFort Wayne, IN 46815-8648 · (260) 486-8778

Phone(260) 486-8778

Organization SubpartNo

Authorized OfficialKellie Jae BrowerOffice Manager · (260) 486-8778

Enumeration DateApril 9, 2019

Last NPPES UpdateSeptember 10, 20204 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2020

✔ NPI 1447713219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

4205 HOBSON CT, Fort Wayne, IN 46815

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Other Names 1

Former Legal Business NameRyan Zimmerman Dds Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Wayne Prosthodontics, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fort Wayne Prosthodontics, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Ryan Zimmerman, DMD

Oral Surgery

NPI 1467773911

4205 HOBSON CT
Fort Wayne, IN 46815

(260) 486-8778

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fort Wayne Prosthodontics, Inc.'s NPI number?

The NPI number for Fort Wayne Prosthodontics, Inc. is 1447713219. It was assigned to this organization in the NPPES registry on April 9, 2019. The provider was formerly known as Ryan Zimmerman Dds Inc.

Where is Fort Wayne Prosthodontics, Inc. located?

Fort Wayne Prosthodontics, Inc. is located at 4205 Hobson Ct, Fort Wayne, IN 46815. The listed phone number is (260) 486-8778.

What is Fort Wayne Prosthodontics, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Is Fort Wayne Prosthodontics, Inc. enrolled in Medicare?

Yes. Fort Wayne Prosthodontics, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Wayne Prosthodontics, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Fort Wayne Prosthodontics, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Wayne Prosthodontics, Inc. was last updated on September 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.