Organization Active NPI

Zimcore, LLC

  • General Practice Physician
  • Irmo, SC
National Provider Identifier
1174882112
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
25569823-0 Issued in SC
Legal business name
ZIMCORE, LLC
Practice address
800 Columbiana Dr Ste 100
Gold'S Gym Complex - Irmo
Irmo, SC 29063-7782
Phone
(803) 271-4318
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Ms. Wendy V Reeves
Title
Owner
Phone
(803) 271-4318

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 25569823-0 SC
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 25569823-0 SC Primary

Addresses

Primary practice location

800 Columbiana Dr Ste 100
Gold'S Gym Complex - Irmo
Irmo, SC 29063-7782

Mailing address

800 Columbiana Dr Ste 100
Gold'S Gym Complex - Irmo
Irmo, SC 29063-7782
Phone (803) 271-4318

Other names 1

  • LMPR Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1174882112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COLUMBIANA DR STE 100",
            "address_2": "GOLD'S GYM COMPLEX - IRMO",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637782",
            "telephone_number": "803-271-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COLUMBIANA DR STE 100",
            "address_2": "GOLD'S GYM COMPLEX - IRMO",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290637782",
            "telephone_number": "803-271-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMCORE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-271-4318",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "25569823-0",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "SC",
            "license": "25569823-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMPR Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irmo, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.