Organization Active NPI

Zimmerman Chiropractic

  • Chiropractor
  • Cornelius, NC
National Provider Identifier
1356654016
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NC-3706 Issued in NC
Legal business name
ZIMMERMAN CHIROPRACTIC
Practice address
21031 Catawba Ave
Cornelius, NC 28031-8824
Phone
(704) 896-8112
Fax
(704) 896-8114
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Dr. Matthew Charles Zimmerman, D.C.
Title
President
Phone
(704) 896-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X NC-3706 NC Primary

Addresses

Primary practice location

21031 Catawba Ave
Cornelius, NC 28031-8824

Mailing address

21031 Catawba Ave
Cornelius, NC 28031-8824
Phone (704) 896-8112

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1356654016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21031 CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318824",
            "telephone_number": "704-896-8112",
            "fax_number": "704-896-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21031 CATAWBA AVE",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280318824",
            "telephone_number": "704-896-8112",
            "fax_number": "704-896-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-896-8112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "NC-3706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.