Individual provider Active NPI

Mark T Zimmerman, D.C.

  • Chiropractor
  • Eustis, FL
National Provider Identifier
1710933528
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9512 Issued in FL
Practice address
2701 Kurt St
Eustis, FL 32726-6515
Phone
(352) 357-1122
Fax
(352) 357-3466
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9512 FL Primary

Addresses

Primary practice location

2701 Kurt St
Eustis, FL 32726-6515

Mailing address

2701 Kurt St
Eustis, FL 32726-6515
Phone (352) 357-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000673 FL Practitioner - Chiropractic 8527096452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

533 Umatilla Blvd
Umatilla, FL 32784-9091
Phone (352) 459-6411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKenney Chiropractic Center PA Chiropractor CurrentSince Mar 1, 2008 Accepting new patients
Umatilla Chiropractic LLC CurrentSince Sep 9, 2013 Accepting new patients
McKenney Chiropractic Center PA Chiropractor PastSince Mar 1, 2008 Accepting new patients
Kidd Chiropractic and Wellness PLLC Chiropractor PastSince Dec 14, 2025 Accepting new patients
Community Chiropractic Chiropractor Past Accepting new patients

Locations

5608 SE 113th St
Ste A
Belleview, FL 34420
Phone (352) 245-8955

533 Umatilla Blvd
Umatilla, FL 32784
Phone (352) 459-6411

Organizations & group practices 5

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1710933528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 KURT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266515",
            "telephone_number": "352-357-1122",
            "fax_number": "352-357-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 KURT ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266515",
            "telephone_number": "352-357-1122",
            "fax_number": "352-357-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MARK",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.