Zidek Chiropractic Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038003467 Issued in IL

Legal business name

ZIDEK CHIROPRACTIC CENTER PC

Practice address

522 W Main St
Shelbyville, IL 62565-1401

Phone

(217) 774-4616

Fax

(217) 774-4844

NPI assigned

Jul 8, 2011

Last updated

Jul 8, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ZIDEK CHIROPRACTIC CENTER PCAs reported in NPPES

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

Authorized official

Name

Dr. Ronald James Zidek, D.C.NPI 1801835061

Title

Doctor/Owner

Phone

(217) 774-4616

Specialties & licenses 2

Addresses

Other names 1

• Ronald J. Zidek Former legal business name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Part of

Zidek Chiropractic Center PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald James Zidek, D.C.

  • Chiropractor
  • Shelbyville, IL
  • NPI 1801835061
  NPD Authorized official
• Rhonda Marie Kull, D.C.

  • Chiropractor
  • Shelbyville, IL
  • NPI 1598704744
  Medicare reassignment

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1407143571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651401",
            "telephone_number": "217-774-4616",
            "fax_number": "217-774-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W MAIN ST",
            "city": "SHELBYVILLE",
            "state": "IL",
            "postal_code": "625651401",
            "telephone_number": "217-774-4616",
            "fax_number": "217-774-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIDEK CHIROPRACTIC CENTER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZIDEK CHIROPRACTIC CENTER PC",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "ZIDEK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "217-774-4616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010544",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald J. Zidek",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sabrina Marie Williams
• Trista D Williams, RDH
• Lynn Winter
• Cheryl Anne Woods
• Catherine Elizabeth Yutmeyer, PA-C
• Ronald James Zidek, D.C.

• Chiropractor in Shelbyville, IL
• Providers in Shelbyville, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.