Individual provider Active NPI

Dustin C Zimpfer, DC

  • Chiropractor
  • Granville, OH
National Provider Identifier
1760775761
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4192 Issued in OH
Practice address
212 S Main St
Granville, OH 43023-1411
Phone
(740) 920-4749
NPI assigned
May 24, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4192 OH Primary

Addresses

Primary practice location

212 S Main St
Granville, OH 43023-1411

Mailing address

212 S Main St
Granville, OH 43023-1411
Phone (740) 920-4749

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151016002301 OH Practitioner - Chiropractic 2567771348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Chiropractic LLCGroup PAC ID 8224383252, 2 clinicians

Practice addresses (Care Compare)

212 S Main St
Granville, OH 43023-1411
Phone (740) 920-4749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4192OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Chiropractic LLC Chiropractor CurrentSince May 8, 2018 Accepting new patients

Locations

212 S Main St
Granville, OH 43023
Phone (740) 920-4749

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": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1760775761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231411",
            "telephone_number": "740-920-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231411",
            "telephone_number": "740-920-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMPFER",
        "first_name": "DUSTIN",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-24",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.