Organization Active NPI

R V Zimmer, D.C., Inc

  • Chiropractor
  • Kettering, OH
National Provider Identifier
1275724791
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
547 Issued in OH
Legal business name
R V ZIMMER, D.C., INC
Practice address
2436 E Dorothy LN
Kettering, OH 45420-1155
Phone
(937) 294-1484
Fax
(937) 294-7542
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Robert V Zimmer, D.C.NPI 1629071519
Title
President
Phone
(937) 294-1484

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 547 OH Primary

Addresses

Primary practice location

2436 E Dorothy LN
Kettering, OH 45420-1155

Mailing address

2436 E Dorothy LN
Kettering, OH 45420-1155
Phone (937) 294-1484

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091119000086 OH Part B Supplier - Clinic/Group Practice 9931247582 Receives reassigned benefits from 1 practitioner
Practice locations: Kettering, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275724791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2436 E DOROTHY LN",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201155",
            "telephone_number": "937-294-1484",
            "fax_number": "937-294-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2436 E DOROTHY LN",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201155",
            "telephone_number": "937-294-1484",
            "fax_number": "937-294-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R V ZIMMER, D.C., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-294-1484",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.