Active NPI
John H Zimmerman, D.C.
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1366421646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2258
- Practice address
- 1217 Riverside Ave
Fort Collins, CO 80524-3218 - Phone
- (970) 482-7800
- Fax
- (970) 482-7802
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2258 | CO | Primary |
Addresses
Primary practice location
1217 Riverside Ave
Fort Collins, CO 80524-3218
Mailing address
1217 Riverside Ave
Fort Collins, CO 80524-3218
Phone (970) 482-7800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 799309 | Other | FIRST HEALTH PROVIDER # | |
| ZI173068 | Other | CO | BCBS PROVIDER # |
| 611698 | Other | CO | ACN PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2629 Redwing Rd
Fort Collins, CO 80526-2879
Phone (970) 672-0789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2258 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John H Zimmerman DC LLC | Chiropractor | Current | Accepting new patients |
Locations
1217 Riverside Ave
Fort Collins, CO 80524
Phone (970) 482-7800
2629 Redwing Rd
Ste 200
Fort Collins, CO 80526
Phone (970) 672-0789
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.
-
- Chiropractor
- Fort Collins, CO
- NPI 1679619696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1366421646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243218",
"telephone_number": "970-482-7800",
"fax_number": "970-482-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243218",
"telephone_number": "970-482-7800",
"fax_number": "970-482-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "JOHN",
"middle_name": "H",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "2258",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROVIDER #",
"identifier": "799309",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "ZI173068",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN PROVIDER NUMBER",
"identifier": "611698",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.