DR. JONATHAN LUKE ZIMMERMAN DDS
NPI 1265794689
Dentist in Martinsburg, PA

Q: What is Jonathan Zimmerman's NPI number?

The NPI number for Jonathan Zimmerman is 1265794689. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Q: What is Jonathan Zimmerman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: Is Jonathan Zimmerman enrolled in Medicare?

No. Jonathan Zimmerman has opted out of Medicare through April 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since June 12, 2012Opted out of Medicare · through Apr 2, 2027

114 W PENN ST, MARTINSBURG, PA 16662(814) 793-4362(814) 793-4362 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jonathan Luke Zimmerman Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN LUKE ZIMMERMAN DDS (NPI 1265794689) is an individual dentist in Martinsburg, Pennsylvania, licensed in Pennsylvania (DS039145) and active in the NPI registry since June 2012. He has opted out of Medicare through April 2, 2027.

NPPES Registry Identity

NPI1265794689

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JONATHAN LUKE ZIMMERMANCredential: DDS

Location Address114 W PENN STMartinsburg, PA 16662-1113

Mailing Address114 W Penn StMartinsburg, PA 16662-1113 · (814) 793-4362

Phone(814) 793-4362

Fax(814) 793-4362

Sole ProprietorYes

Enumeration DateJune 12, 2012

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1265794689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS039145

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

114 W PENN ST, Martinsburg, PA 16662

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jonathan Luke Zimmerman Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2025 through April 2, 2027.

Opt-Out Effective DateApril 2, 2025

Opt-Out In Effect ThroughApril 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZIMMERMAN FAMILY DENTISTRY, INC.

Clinic/Center (Dental)

114 W PENN ST
MARTINSBURG, PA 16662

Blair County (814) 793-4362

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Zimmerman's NPI number?

The NPI number for Jonathan Zimmerman is 1265794689. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Jonathan Zimmerman located?

Jonathan Zimmerman practices at 114 W Penn St, Martinsburg, PA 16662. The listed phone number is (814) 793-4362.

What is Jonathan Zimmerman's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jonathan Zimmerman enrolled in Medicare?

No. Jonathan Zimmerman has opted out of Medicare through April 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jonathan Zimmerman was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.