Fort Wayne Prosthodontics, Inc.
NPI 1447713219 · Prosthodontics · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fort Wayne Prosthodontics, Inc. is a Prosthodontics organization in Fort Wayne, IN (NPI 1447713219).
Provider details
- NPI number
- 1447713219
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kellie Brower, Office Manager(260) 486-8778
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Ryan Zimmerman DDS Inc
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2020-09-10
- Certified
- 2020-09-10
Frequently asked questions
- What is Fort Wayne Prosthodontics, Inc.'s NPI number?
- Fort Wayne Prosthodontics, Inc.'s National Provider Identifier (NPI) is 1447713219, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Prosthodontics, Inc.?
- Fort Wayne Prosthodontics, Inc. is classified in the NPPES registry as Prosthodontics (Dental Providers).
- Where is Fort Wayne Prosthodontics, Inc. located?
- Fort Wayne Prosthodontics, Inc.'s practice location on file with NPPES is 4205 Hobson Ct, Fort Wayne, IN 46815-8648.
- What is Fort Wayne Prosthodontics, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Prosthodontics, Inc. is (260) 486-8778.
- Does Fort Wayne Prosthodontics, Inc. accept Medicare?
- Fort Wayne Prosthodontics, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fort Wayne Prosthodontics, Inc.?
- The authorized official listed on Fort Wayne Prosthodontics, Inc.'s NPPES record is Kellie Brower, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Prosthodontics, Inc.'s NPI active?
- Yes — Fort Wayne Prosthodontics, Inc.'s NPI (1447713219) is active in the NPPES registry as of the last update on 2020-09-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.