Individual provider Active NPI

Cherie Zimmerman, RDH, PHDHP

  • Dental Hygienist
  • Yeagertown, PA
National Provider Identifier
1134869068
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH013725L Issued in PA
Practice address
106 Derry Heights Boulevard
Yeagertown, PA 17099
Phone
(717) 248-9900
Fax
(717) 248-9910
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X PHDH001275 PA
Dental Hygienist 124Q00000X DH013725L PA Primary

Addresses

Primary practice location

106 Derry Heights Boulevard
Yeagertown, PA 17099

Mailing address

106 Derry Heights Boulevard
Yeagertown, PA 17099
Phone (717) 248-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH013725LPAMDDental Hygienist
PHDH001275PAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1134869068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 DERRY HEIGHTS BOULEVARD",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "17099",
            "telephone_number": "717-248-9900",
            "fax_number": "717-248-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 DERRY HEIGHTS BOULEVARD",
            "city": "YEAGERTOWN",
            "state": "PA",
            "postal_code": "17099",
            "telephone_number": "717-248-9900",
            "fax_number": "717-248-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "CHERIE",
        "credential": "RDH, PHDHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "PHDH001275",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "PA",
            "license": "DH013725L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yeagertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.