Individual provider Active NPI

Alisa Zitter, DMD

  • General Practice Dentistry
  • Pottstown, PA
National Provider Identifier
1629507173
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041257 Issued in PA
Practice address
4 Glocker Way
Pottstown, PA 19465-9649
Phone
(106) 246-1666
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041257 PA Primary

Addresses

Primary practice location

4 Glocker Way
Pottstown, PA 19465-9649

Mailing address

4 Glocker Way
Pottstown, PA 19465-9649
Phone (610) 624-6166

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
DS041257PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
GD PA Collegeville PLLC General Practice PastSince Oct 13, 2024 Accepting new patients
Collegeville Dental Center General Practice PastSince Dec 9, 2019 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1629507173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 GLOCKER WAY",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194659649",
            "telephone_number": "610-624-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 GLOCKER WAY",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194659649",
            "telephone_number": "106-246-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTER",
        "first_name": "ALISA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.