Organization Active NPI

Zellweger Family Chiropractic PLLC

  • Chiropractor
  • Bluffton, SC
National Provider Identifier
1255754636
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3879 Issued in SC
Legal business name
ZELLWEGER FAMILY CHIROPRACTIC PLLC
Practice address
18 Oak Forest Rd
Bluffton, SC 29910-4989
Phone
(563) 271-5676
NPI assigned
Jan 21, 2014
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Dr. Justin Zellweger, D.C.NPI 1831256528
Title
Owner
Phone
(563) 271-5676

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 3879 SC Primary

Addresses

Primary practice location

18 Oak Forest Rd
Bluffton, SC 29910-4989

Mailing address

240 Fish Hatchery Rd
Richmond, NH 03470-4808
Phone (563) 271-5676

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140312000893 SC Part B Supplier - Clinic/Group Practice 1951531052 Receives reassigned benefits from 3 practitioners
Practice locations: Bluffton, SC; Port Royal, SC

National Provider Directory

National Provider Directory

Locations

18 Oak Forest Rd
Bluffton, SC 29910
Phone (563) 271-5676

2206 Mossy Oaks Rd
Ste A
Port Royal, SC 29935
Phone (843) 706-2378

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": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1255754636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 FISH HATCHERY RD",
            "city": "RICHMOND",
            "state": "NH",
            "postal_code": "034704808",
            "telephone_number": "563-271-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OAK FOREST RD",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299104989",
            "telephone_number": "563-271-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELLWEGER FAMILY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "ZELLWEGER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-271-5676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.