Organization Active NPI

Infinity Chiropractic and Nutrition LLC

  • Chiropractor
  • Springboro, OH
National Provider Identifier
1154860815
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3899 Issued in OH
Legal business name
INFINITY CHIROPRACTIC AND NUTRITION LLC
Practice address
99 Edgebrooke Dr
Springboro, OH 45066
Phone
(937) 748-0050
Fax
(937) 748-0030
NPI assigned
Feb 14, 2017
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Dr. Brent Michael Zoller, D.CNPI 1912162041
Title
Owner
Phone
(937) 974-0050

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
Chiropractor 111N00000X 3899 OH Primary

Addresses

Primary practice location

99 Edgebrooke Dr
Springboro, OH 45066

Mailing address

99 Edgebrooke Dr
Springboro, OH 45066-1036
Phone (937) 748-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180504002024 OH Part B Supplier - Clinic/Group Practice 7719241439 Receives reassigned benefits from 2 practitioners
Practice locations: Springboro, OH

National Provider Directory

National Provider Directory

Locations

99 Edgebrooke Dr
Springboro, OH 45066
Phone (937) 748-0050

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1154860815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EDGEBROOKE DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661036",
            "telephone_number": "937-748-0050",
            "fax_number": "937-748-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EDGEBROOKE DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "45066",
            "telephone_number": "937-748-0050",
            "fax_number": "937-748-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY CHIROPRACTIC AND NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "ZOLLER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-974-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.