Organization Active NPI

Zimmer Family Chiropractic, PC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1780860619
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ZIMMER FAMILY CHIROPRACTIC, PC
Practice address
9757 Westpoint Dr Ste 500
Indianapolis, IN 46256-3265
Phone
(317) 813-1998
Fax
(317) 813-1997
NPI assigned
Jan 10, 2008
Last updated
Sep 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2018

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

Authorized official

Name
Dr. Edward Paul Zimmer, M.S., D.C.NPI 1881665784
Title
Owner
Phone
(317) 813-1998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary
Nutrition ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN1001X

Addresses

Primary practice location

9757 Westpoint Dr Ste 500
Indianapolis, IN 46256-3265

Mailing address

9757 Westpoint Dr Ste 500
Indianapolis, IN 46256-3265
Phone (317) 813-1998

Other identifiers 1

IdentifierTypeStateIssuer
000000205170OtherINBCBS LEGACY PIN

Other names 1

  • Zimmer Chiropractic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041223000086 IN Part B Supplier - Clinic/Group Practice 8628036522 Receives reassigned benefits from 3 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

8202 Clearvista Pkwy
#8
Indianapolis, IN 46256
Phone (317) 813-1998

8202 Clearvista Pkwy
Ste 8E
Indianapolis, IN 46256
Phone (317) 585-9930

9757 Westpoint Dr
Ste 500
Indianapolis, IN 46256
Phone (317) 813-1998

Practitioners & affiliated clinicians

Practitioners 7

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": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538092800000",
    "number": "1780860619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 WESTPOINT DR STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563265",
            "telephone_number": "317-813-1998",
            "fax_number": "317-813-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 WESTPOINT DR STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563265",
            "telephone_number": "317-813-1998",
            "fax_number": "317-813-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMER FAMILY CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2018-09-28",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-813-1998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LEGACY PIN",
            "identifier": "000000205170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zimmer Chiropractic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Zimmer Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.