Individual provider Active NPI

Steven Carl Zimmerman, D.C.

  • Chiropractor
  • Charleston, SC
National Provider Identifier
1194774836
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2067 Issued in SC
Practice address
349 Folly Rd
Suite 2C
Charleston, SC 29412-2508
Phone
(843) 795-8898
Fax
(843) 795-8823
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2067 SC Primary

Addresses

Primary practice location

349 Folly Rd
Suite 2C
Charleston, SC 29412-2508

Mailing address

349 Folly Rd
Suite 2C
Charleston, SC 29412-2508
Phone (843) 795-8898

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111017000463 SC Practitioner - Chiropractic 2466624416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

349 Folly Rd
Suite 2C
Charleston, SC 29412-2508
Phone (843) 795-8898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Zimmerman Chiropractic, Inc. Chiropractor CurrentSince Dec 7, 1997 Accepting new patients

Locations

349 Folly Rd
Ste 2C
Charleston, SC 29412
Phone (843) 795-8898

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1194774836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 FOLLY RD",
            "address_2": "SUITE 2C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122508",
            "telephone_number": "843-795-8898",
            "fax_number": "843-795-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 FOLLY RD",
            "address_2": "SUITE 2C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294122508",
            "telephone_number": "843-795-8898",
            "fax_number": "843-795-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "STEVEN",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.