Radomir R Zivkovic, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 4847 Issued in FL

Practice address

4371 US Highway 17
Ste 104
Fleming Island, FL 32003-4812

Phone

(904) 278-4888

Fax

(904) 278-1166

NPI assigned

Oct 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Zivkovic Chiropractic Center

  • Chiropractor
  • Fleming Island, FL
  • NPI 1184993511
  NPD (past) Authorized official
• Thrive Health Center Fleming LLC

  • Chiropractor
  • Fleming Island, FL
  • NPI 1326999830
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1316937386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4371 US HIGHWAY 17",
            "address_2": "SUITE 104",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034812",
            "telephone_number": "904-278-4888",
            "fax_number": "904-278-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 US HIGHWAY 17",
            "address_2": "STE 104",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034812",
            "telephone_number": "904-278-4888",
            "fax_number": "904-278-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIVKOVIC",
        "first_name": "RADOMIR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanna Young
• Kabir A Yousuf, MD
• Andrew C Zachary, DPT
• Mingyue Diana Zheng, DO
• Zivkovic Chiropractic Center

• Chiropractor in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.