Organization Active NPI

Michael C Zimmer DC PC

  • Occupational Health Chiropractor
  • Maryland Heights, MO
National Provider Identifier
1770898553
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
CE 003583 Issued in MO
Legal business name
MICHAEL C ZIMMER DC PC
Practice address
11705 Dorsett Rd Ste 101
Maryland Heights, MO 63043-2519
Phone
(314) 291-3666
Fax
(314) 291-3668
NPI assigned
Aug 17, 2010
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Dr. Michael Conway Zimmer, D.C.
Title
President Owner
Phone
(314) 291-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X CE 003583 MO Primary

Addresses

Primary practice location

11705 Dorsett Rd Ste 101
Maryland Heights, MO 63043-2519

Mailing address

11705 Dorsett Rd Ste 101
Maryland Heights, MO 63043-2519
Phone (314) 291-3666

National Provider Directory

National Provider Directory

Locations

11705 Dorsett Rd
Ste 101
Maryland Heights, MO 63043
Phone (314) 291-3666

12131 Dorsett Rd
Ste 209
Maryland Heights, MO 63043
Phone (314) 291-3666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1770898553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 DORSETT RD STE 101",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432519",
            "telephone_number": "314-291-3666",
            "fax_number": "314-291-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 DORSETT RD STE 101",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432519",
            "telephone_number": "314-291-3666",
            "fax_number": "314-291-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C ZIMMER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CONWAY",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "314-291-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "MO",
            "license": "CE 003583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.