Individual provider Active NPI

Michael Joseph Zmoos, DC

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1386685949
Registry record updated Jan 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05068 Issued in IA
Practice address
4045 River Ridge Dr NE
Cedar Rapids, IA 52402-7544
Phone
(319) 395-9598
Fax
(319) 395-9660
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 05068 IA Primary

Addresses

Primary practice location

4045 River Ridge Dr NE
Cedar Rapids, IA 52402-7544

Mailing address

4045 River Ridge Dr NE
Cedar Rapids, IA 52402-7544
Phone (319) 395-9598

Other identifiers 1

IdentifierTypeStateIssuer
0221440MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041220000941 IA Practitioner - Chiropractic 9032177241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zmoos Chiropractic Center, PLCGroup PAC ID 3577728583, 2 clinicians

Practice addresses (Care Compare)

4045 River Ridge Dr NE
Cedar Rapids, IA 52402-7544
Phone (319) 395-9598

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05068IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zmoos Chiropractic Center, PLC Chiropractor CurrentSince Jun 1, 2012 Accepting new patients

Locations

4045 River Ridge Dr NE
Cedar Rapids, IA 52402
Phone (319) 395-9598

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294444800000",
    "number": "1386685949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027544",
            "telephone_number": "319-395-9598",
            "fax_number": "319-395-9660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 RIVER RIDGE DR NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027544",
            "telephone_number": "319-395-9598",
            "fax_number": "319-395-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMOOS",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "05068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221440",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2011; 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.