NPIMap

Organization Active NPI

Ronald J. Zidek

  • Chiropractor
  • Shelbyville, IL
National Provider Identifier
1053405878
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-003467 Issued in IL
Legal business name
RONALD J. ZIDEK
Practice address
522 W Main St
Shelbyville, IL 62565-1401
Phone
(217) 774-4616
Fax
(217) 774-4844
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Ronald James Zidek, D.C.NPI 1801835061
Title
Head Doctor
Phone
(217) 774-4616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038-003467 IL Primary

Addresses

Primary practice location

522 W Main St
Shelbyville, IL 62565-1401

Mailing address

522 W Main St
Shelbyville, IL 62565-1401
Phone (217) 774-4616

National Provider Directory

National Provider Directory

Locations

522 W Main St
Shelbyville, IL 62565
Phone (217) 774-4616

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1053405878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651401",
            "telephone_number": "217-774-4616",
            "fax_number": "217-774-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651401",
            "telephone_number": "217-774-4616",
            "fax_number": "217-774-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. ZIDEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "ZIDEK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "HEAD DOCTOR",
        "authorized_official_telephone_number": "217-774-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-003467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.