Robert R Zimmerman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS020255-L Issued in PA

Practice address

750 S Potomac St
Waynesboro, PA 17268-2198

Phone

(717) 762-1515

Fax

(717) 762-6103

NPI assigned

Nov 30, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Cornerstone Family Dentistry,LLC

  • General Practice Dentistry
  • Waynesboro, PA
  • NPI 1346317492
  Authorized official Same address or phone
• Covenant Family Dentistry

  • General Practice Dentistry
  • Waynesboro, PA
  • NPI 1629561014
  Authorized official Same address or phone

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760559942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S POTOMAC ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682198",
            "telephone_number": "717-762-1515",
            "fax_number": "717-762-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S POTOMAC ST",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172682198",
            "telephone_number": "717-762-1515",
            "fax_number": "717-762-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ROBERT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020255-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019648070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Wissinger
• Tunya Adellia Witmer, CRNP
• Trent James Woodruff
• Edward J Yelinek, PH.D.
• Jolene Zheng, DMD

• General Practice Dentistry in Waynesboro, PA
• Providers in Waynesboro, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.