Organization Active NPI

Zimmerman Family Dentistry, Inc.

  • Dental Clinic/Center
  • Martinsburg, PA
National Provider Identifier
1083424311
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ZIMMERMAN FAMILY DENTISTRY, INC.
Practice address
114 W Penn St
Martinsburg, PA 16662-1113
Phone
(814) 793-4362
Fax
(814) 793-4362
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jonathan Luke Zimmerman, DDSNPI 1265794689
Title
Owner/Dentist
Phone
(814) 494-1135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

114 W Penn St
Martinsburg, PA 16662-1113

Mailing address

114 W Penn St
Martinsburg, PA 16662-1113
Phone (814) 793-4362

National Provider Directory

National Provider Directory

Locations

114 W Penn St
Martinsburg, PA 16662
Phone (814) 793-4362

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1083424311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W PENN ST",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621113",
            "telephone_number": "814-793-4362",
            "fax_number": "814-793-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W PENN ST",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621113",
            "telephone_number": "814-793-4362",
            "fax_number": "814-793-4362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "814-494-1135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.