Active NPI
Timothy Lynn Zook, D.C.
- Chiropractor
- Niceville, FL
National Provider Identifier
1174596845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0006149
- Practice address
- 1148 John Sims Pkwy E
Niceville, FL 32578-2204 - Phone
- (850) 678-4155
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006149 | FL | Primary |
Addresses
Primary practice location
1148 John Sims Pkwy E
Niceville, FL 32578-2204
Mailing address
1148 John Sims Pkwy E
Niceville, FL 32578-2204
Phone (850) 678-4155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380631600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100922000562 | FL | Practitioner - Chiropractic | 3173536927 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1148 E John Sims Pkwy
Niceville, FL 32578-2204
Phone (850) 678-4155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0006149 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356480000000",
"number": "1174596845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 JOHN SIMS PKWY E",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782204",
"telephone_number": "850-678-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 JOHN SIMS PKWY E",
"city": "NICEVILLE",
"state": "FL",
"postal_code": "325782204",
"telephone_number": "850-678-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOOK",
"first_name": "TIMOTHY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2012-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0006149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380631600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Niceville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.