Kyle Robert Zimmerman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009865 Issued in MI

Practice address

210 W Main St
Owosso, MI 48867-2914

Phone

(989) 723-2039

Fax

(989) 725-7723

NPI assigned

Mar 8, 2012

Last updated

Mar 8, 2012By 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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Williamston Sport and Spine Chiropractic Clinic

  dba Williamston Sport and Spine Chiropractic

  • Chiropractor
  • Williamston, MI
  • NPI 1659614501
  Medicare reassignment NPD Authorized official
• Keller Chiropractic of Owosso P.C.

  • Chiropractor
  • Owosso, MI
  • NPI 1386274173
  NPD

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1144594110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672914",
            "telephone_number": "989-723-2039",
            "fax_number": "989-725-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672914",
            "telephone_number": "989-723-2039",
            "fax_number": "989-725-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "KYLE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Vincent Young, RPH.
• Youngworkz LLC
• John R. Zang-Bodis, D.D.S., M.D.S.
• Phillip James Zezulak, LPC, CAADC
• Elaine Joy Zimmerman, RNCDE
• Diane Carol Zuckschwerdt, MA,CCC-A
• Stacy Zwolensky, LLMFT

• Chiropractor in Owosso, MI
• Providers in Owosso, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.