Individual provider Active NPI

Christopher J Zimmer, DC

  • Chiropractor
  • Marine City, MI
National Provider Identifier
1609825355
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301005003 Issued in MI
Practice address
447 S Water St
Marine City, MI 48039-1695
Phone
(810) 765-5622
Fax
(810) 765-8374
NPI assigned
May 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 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 2301005003 MI Primary

Addresses

Primary practice location

447 S Water St
Marine City, MI 48039-1695

Mailing address

447 S Water St
Marine City, MI 48039-1695
Phone (810) 765-5622

Other identifiers 1

IdentifierTypeStateIssuer
3212436MedicaidMI

Other names 1

  • Dr. Christopher J Zimmer Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091028000190 MI Practitioner - Chiropractic 6103963913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

447 S Water St
Marine City, MI 48039-1695
Phone (810) 765-5622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301005003MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Norbert C. Zimmer P.C. Chiropractor CurrentSince Aug 20, 1984 Accepting new patients

Locations

447 S Water St
Marine City, MI 48039
Phone (810) 765-5622

610 Minnie St
Port Huron, MI 48060
Phone (810) 987-7500

Interoperability endpoints

  • Direct secure messaging: zc0002@zc0002.direct.chirotouch.md

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1609825355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 S WATER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391695",
            "telephone_number": "810-765-5622",
            "fax_number": "810-765-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 S WATER ST",
            "city": "MARINE CITY",
            "state": "MI",
            "postal_code": "480391695",
            "telephone_number": "810-765-5622",
            "fax_number": "810-765-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3212436",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "ZIMMER",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marine City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.