Keith John Zimmermann, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

100-0492 Issued in NH

Practice address

700 Lake Ave
Suite 3
Manchester, NH 03103-2734

Phone

(603) 668-7070

Fax

(603) 668-5755

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659381960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "address_2": "SUITE 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-668-7070",
            "fax_number": "603-668-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LAKE AVE",
            "address_2": "SUITE 3",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031032734",
            "telephone_number": "603-668-7070",
            "fax_number": "603-668-5755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "KEITH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NH",
            "license": "100-0492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Ziegra, RN
• Kristine Ziemba, NP
• Victoria Ziemer, CNM
• Jeffrey M Zimmerman, MD
• Zimmermann Chiropractic and Wellness Center, LLC
• Lori Kristin Zinner, RN, NNP-BC
• Ronald P. Zinno, MD
• Amanda Ziobron, BS
• Stephanie Zipparo
• Susan Judith Zlotnick-Hale, MD

• Sports Physician Chiropractor in Manchester, NH
• Providers in Manchester, NH by specialty
• Sports Physician Chiropractor in New Hampshire

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.