Active NPI
Robert V Zimmer, D.C.
- Chiropractor
- Kettering, OH
National Provider Identifier
1629071519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 547
- Practice address
- 2436 E Dorothy LN
Kettering, OH 45420-1155 - Phone
- (937) 294-1484
- Fax
- (937) 294-7542
- NPI assigned
- May 24, 2005
- 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 | 547 | OH | Primary |
Addresses
Primary practice location
2436 E Dorothy LN
Kettering, OH 45420-1155
Mailing address
2436 E Dorothy LN
Kettering, OH 45420-1155
Phone (937) 294-1484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310997407-00 | Other | OH | BWC |
| 310997407 | Other | OH | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1964
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2436 E Dorothy LN
Kettering, OH 45420-1155
Phone (937) 294-1484
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 547 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R V Zimmer, D.C., Inc | Chiropractor | Current | Accepting new patients |
| Pelle Chiropractic LLC | Chiropractor | Past | Accepting new patients |
Locations
2436 E Dorothy Ln
Kettering, OH 45420
Phone (937) 294-1484
Organizations & group practices 2
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
- Kettering, OH
- NPI 1275724791
-
- Chiropractor
- Dayton, OH
- NPI 1306798640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1629071519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2436 E DOROTHY LN",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201155",
"telephone_number": "937-294-1484",
"fax_number": "937-294-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2436 E DOROTHY LN",
"city": "KETTERING",
"state": "OH",
"postal_code": "454201155",
"telephone_number": "937-294-1484",
"fax_number": "937-294-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMER",
"first_name": "ROBERT",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BWC",
"identifier": "310997407-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "310997407",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.