Individual provider Active NPI

Jere Zarkin

  • Dentist
  • Harrisburg, PA
National Provider Identifier
1295084747
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18237 Issued in PA
Practice address
2301 N Front St
Harrisburg, PA 17110-1028
Phone
(717) 236-1156
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18237 PA Primary

Addresses

Primary practice location

2301 N Front St
Harrisburg, PA 17110-1028

Mailing address

2301 N Front St
Harrisburg, PA 17110-1028
Phone (717) 236-1156

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
18237PAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1295084747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101028",
            "telephone_number": "717-236-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N FRONT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101028",
            "telephone_number": "717-236-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARKIN",
        "first_name": "JERE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "18237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.