Active NPI
Zimcore, LLC
- General Practice Physician
- Irmo, SC
National Provider Identifier
1174882112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 25569823-0
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 25569823-0 | SC | |
| General Practice Physician | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cape Charles, VA
- NPI 1922028679
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.