Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1013107515 Deactivated / Inactive NPI Male Practitioner

Dr. Waldon C Zimmerman , DMD

Dentist • Pendleton, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Waldon Zimmerman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 31, 2007
NPI Deactivation Date January 22, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Waldon Zimmerman, DMD was a registered Dentist practicing in Pendleton, OR. Throughout an active medical career spanning 14 years, Dr. Zimmerman provided care at the practice location at 73265 CONFEDERATED WAY until profile deactivation on 2021-01-22.

Practice Location & Contact Primary Location

Practice Address

73265 Confederated Way

Pendleton, OR 978010160

Telephone 5419669830
Fax 5412787572
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Pendleton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Pendleton, OR (1289 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License OR D4476

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Cody Cimmiyotti

Peer Specialist

NPI 1003506429
Ian Sampson

Peer Specialist

NPI 1013403286
Amy Allen , RN

Registered Nurse

NPI 1013792696

Registered Nurse

Allan Jio

Pharmacist

NPI 1013928563
NPI 1033492822

Registered Pharmacist

NPI 1033536651

Certified Nursing Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 22, 2021

Record deactivated on January 22, 2021

NPI Profile Active September 12, 2011

NPI status registered as active in NPPES database

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Updated Practice Location September 12, 2011

Registered at 73265 CONFEDERATED WAY, PENDLETON, OR 978010160 (Tel: 5419669830)

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Updated Business Mailing Address September 12, 2011

Registered at 73265 CONFEDERATED WAY, PENDLETON, OR 978010160 (Tel: 5419669830)

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Provider Name / Credentials Updated September 12, 2011

Recorded as WALDON ZIMMERMAN, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2011

Dentist (License #D4476 in OR)

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Initial NPI Registration & Enumeration July 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013107515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2007
Last Update: September 12, 2011
Deactivation Date: January 22, 2021

Mailing Address

73265 Confederated Way

Pendleton, OR 978010160

Phone: 5419669830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.