Active NPI
Randy Thomas Zimmerman, DC
- Chiropractor
- Saint Joseph, MO
National Provider Identifier
1407886245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 006605
- Practice address
- 1307 B Village Drive
Saint Joseph, MO 64506-2457 - Phone
- (816) 390-9900
- Fax
- (816) 232-4357
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 006605 | MO | Primary |
Addresses
Primary practice location
1307 B Village Drive
Saint Joseph, MO 64506-2457
Mailing address
1307 B Village Drive
Saint Joseph, MO 64506-2457
Phone (816) 390-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3901 Beck Rd
Suite B
Saint Joseph, MO 64506-4923
Phone (816) 390-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006605 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zimmerman Chiropractic Inc. | Chiropractor | Current | Accepting new patients |
Locations
1307 Village Dr
Ste B
Saint Joseph, MO 64506
Phone (816) 390-9900
3901 Beck Rd
Ste B
Saint Joseph, MO 64506
Phone (816) 390-9900
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407886245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 B VILLAGE DRIVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062457",
"telephone_number": "816-390-9900",
"fax_number": "816-232-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 B VILLAGE DRIVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062457",
"telephone_number": "816-390-9900",
"fax_number": "816-232-4357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "RANDY",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "006605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.