Matthew L Zizmor DDS PC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

13781 Issued in MA

Legal business name

MATTHEW L ZIZMOR DDS PC

Practice address

1244 Boylston Street
Suite 205
Chestnut Hill, MA 02467

Phone

(617) 738-4788

Fax

(617) 735-0031

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew L Zizmor, DDS

Title

President

Phone

(617) 738-4788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1508915752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON STREET",
            "address_2": "SUITE 205",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "02467",
            "telephone_number": "617-738-4788",
            "fax_number": "617-735-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 BOYLSTON STREET",
            "address_2": "SUITE 205",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "02467",
            "telephone_number": "617-738-4788",
            "fax_number": "617-735-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW L ZIZMOR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "ZIZMOR",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-738-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "13781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CORNCORDIA",
            "identifier": "544958",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Martinelli, PA-C
• Nicholas James Maselli, MD
• Massachusetts General Hospital Physicians Organization
• Regina Gail Mastrobattista
• Lorianne Masuoka, M.D.
• Jane C Matthews, M.D.
• Michele L Matthews, PHARMD
• David A. Mattingly, M.D.
• Jenna Maxfield, LICSW
• Sarah Ashton Mayberry, PA-C

• Prosthodontics in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.