RYAN DEAN ZIMMERMAN DMD
NPI 1467773911
Dentist - Prosthodontics in Fort Wayne, IN

Q: What is Ryan Zimmerman's NPI number?

The NPI number for Ryan Zimmerman is 1467773911. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Q: What is Ryan Zimmerman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Zimmerman was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 18, 2010PECOS Enrolled

4205 HOBSON CT, FORT WAYNE, IN 46815(260) 486-8778(260) 486-7679 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 2, 2023, Jun 5, 2019 (2 updates tracked since 2019).

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About Ryan Dean Zimmerman Dmd NPPES

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

RYAN DEAN ZIMMERMAN DMD (NPI 1467773911) is an individual prosthodontics provider in Fort Wayne, Indiana, licensed in Indiana (12011459A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of University Of Kentucky College Of Dentistry (2010).

NPPES Registry Identity

NPI1467773911

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameRYAN DEAN ZIMMERMANCredential: DMD

Location Address4205 HOBSON CTFort Wayne, IN 46815-8648

Mailing Address4205 Hobson CtFort Wayne, IN 46815-8648 · (260) 486-8778 · Fax (260) 486-7679

Phone(260) 486-8778

Fax(260) 486-7679

Sole ProprietorYes

Medical School CMSUniversity Of Kentucky College Of DentistryGraduated 2010

Enumeration DateJune 18, 2010

Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2023

✔ NPI 1467773911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in IN · 12011459A

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.

Also ListedDentistTaxonomy 122300000X · License 12011459A (IN)

4205 HOBSON CT, Fort Wayne, IN 46815

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Dean Zimmerman Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941548408

PECOS Enrollment IDI20190208001758

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46815 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARY LYNN GOTSCH D.D.S, M.S.D.

Dentist (Prosthodontics)

4205 HOBSON CT
FORT WAYNE, IN 46815

Allen County (260) 486-8778

GARY L. GOTSCH DDS, MSD, LLC

Dentist (Prosthodontics)

4205 HOBSON CT
FORT WAYNE, IN 46815

Allen County (260) 486-8788

FORT WAYNE PROSTHODONTICS, INC.

Dentist (Prosthodontics)

4205 HOBSON CT
FORT WAYNE, IN 46815

Allen County (260) 486-8778

GARY L. GOTSCH DDS MSD

Dentist (Prosthodontics)

4205 HOBSON CT
FORT WAYNE, IN 46815

Allen County (260) 486-8778

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 Ryan Zimmerman's NPI number?

The NPI number for Ryan Zimmerman is 1467773911. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Ryan Zimmerman located?

Ryan Zimmerman practices at 4205 Hobson Ct, Fort Wayne, IN 46815. The listed phone number is (260) 486-8778.

What is Ryan Zimmerman's specialty?

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

Is Ryan Zimmerman enrolled in Medicare?

Yes. Ryan Zimmerman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Zimmerman was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.