Individual provider Active NPI

Jerome James Zortman, D.C.

  • Chiropractor
  • Grimes, IA
National Provider Identifier
1790780328
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4390 Issued in IA
Practice address
250 W First Street
Ste D
Grimes, IA 50111-2138
Phone
(515) 986-2233
Fax
(515) 986-0041
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4390 IA Primary

Addresses

Primary practice location

250 W First Street
Ste D
Grimes, IA 50111-2138

Mailing address

250 W First Street
Suite D
Grimes, IA 50111-2138
Phone (515) 986-2233

Other identifiers 3

IdentifierTypeStateIssuer
350021881OtherIARAILROAD MEDICARE
1021501MedicaidIA
20581OtherIABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Viers Chiropractic Clinic PC Chiropractor CurrentSince Oct 4, 2020 Accepting new patients

Locations

250 W 1st St
Ste D
Grimes, IA 50111
Phone (515) 986-2233

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1790780328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W FIRST STREET",
            "address_2": "SUITE D",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112138",
            "telephone_number": "515-986-2233",
            "fax_number": "515-986-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W FIRST STREET",
            "address_2": "STE D",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112138",
            "telephone_number": "515-986-2233",
            "fax_number": "515-986-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZORTMAN",
        "first_name": "JEROME",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350021881",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021501",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20581",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.