Jonathan Luke Zimmerman, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS039145 Issued in PA

Practice address

114 W Penn St
Martinsburg, PA 16662-1113

Phone

(814) 793-4362

Fax

(814) 793-4362

NPI assigned

Jun 12, 2012

Last updated

Jan 27, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 2, 2025 through Apr 2, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Zimmerman Family Dentistry, Inc.

  • Dental Clinic/Center
  • Martinsburg, PA
  • NPI 1083424311
  NPD Authorized official
• Murray S Smith Family and Laser Dentistry Inc

  • Dentist
  • Martinsburg, PA
  • NPI 1255498978
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1265794689",
    "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"
        },
        {
            "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": {
        "last_name": "ZIMMERMAN",
        "first_name": "JONATHAN",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS039145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Village at Morrisons Cove (Village In Place Hospice)
• The Village at Morrisons Cove (Morrisons Cove Home)
• Collin Amanda Thompson
• Lunda E. Weaver, M.D.
• Zimmerman Family Dentistry, Inc.

• Dentist in Martinsburg, PA
• Providers in Martinsburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.