Organization Active NPI

Downtown Dental Syracuse PC

  • General Practice Dentistry
  • Syracuse, NY
National Provider Identifier
1730515164
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DOWNTOWN DENTAL SYRACUSE PC
Practice address
120 E Washington St
Suite 101
Syracuse, NY 13202-4000
Phone
(315) 422-0894
Fax
(315) 471-1577
NPI assigned
Sep 17, 2013
Last updated
Dec 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Christopher Jon Zimmerman, D.M.D
Title
Owner/Dentist
Phone
(315) 422-0894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

120 E Washington St
Suite 101
Syracuse, NY 13202-4000

Mailing address

120 E Washington St
Suite 101
Syracuse, NY 13202-4000
Phone (315) 422-0894

National Provider Directory

National Provider Directory

Locations

120 E Washington St
Syracuse, NY 13202
Phone (315) 422-0894

120 E Washington St
Ste 101
Syracuse, NY 13202
Phone (315) 422-0854

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1730515164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132024000",
            "telephone_number": "315-422-0894",
            "fax_number": "315-471-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132024000",
            "telephone_number": "315-422-0894",
            "fax_number": "315-471-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL SYRACUSE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "315-422-0894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

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