IndividualActive
Jason Zimmerman, D.D.S., M.S.
NPI 1902874159 · Pediatric Dentistry · Fort Worth, TX
Provider details
- NPI number
- 1902874159
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20465 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4545 Bellaire Dr S Ste 4
Fort Worth, TX 76109-1811
Phone: (214) 533-8183
Fax: (817) 796-2404
Street-level locationGet directions
Mailing address
Po Box 55367
Hurst, TX 76054-5367
Registry dates
- Enumerated
- 2006-03-12
- Last updated
- 2022-10-23
- Certified
- 2022-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.