Individual provider Active NPI

Justin Dale Zellweger, D.C.

  • Chiropractor
  • Rindge, NH
National Provider Identifier
1831256528
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7781206 Issued in NH
Practice address
1102 NH Route119
Rindge, NH 03461
Phone
(603) 899-5153
NPI assigned
Jan 2, 2007
Last updated
Oct 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7781206 NH Primary
Chiropractor 111N00000X 3879 SC
Chiropractor 111N00000X CHIR009959 GA

Addresses

Primary practice location

1102 NH Route119
Rindge, NH 03461

Mailing address

1 Mallett Way #102
Bluffton, SC 29910
Phone (843) 706-2378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140312000940 SC Practitioner - Chiropractic 0840291050 Reassigns benefits to 1 organization
I20171024000750 GA Practitioner - Chiropractic 0840291050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zellweger Family Chiropractic PLLCGroup PAC ID 1951531052, 2 clinicians
Zellweger Family ChiropracticGroup PAC ID 9234405044, 4 clinicians

Practice addresses (Care Compare)

1 Mallett Way
Suite 102
Bluffton, SC 29910-6066
Phone (843) 706-2378

461 Johnny Mercer Blvd
Suite C3
Savannah, GA 31410-2221
Phone (843) 706-2378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7781206NHMDChiropractor
3879SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zellweger Family Chiropractic PLLC Chiropractor CurrentSince Jan 27, 2014 Accepting new patients
Zellweger Family Chiropractic PLLC Chiropractor CurrentSince Jan 2, 2007 Accepting new patients
Zellweger Family Chiropractic Chiropractor Past Accepting new patients

Locations

1 Mallett Way
Ste 102
Bluffton, SC 29910
Phone (843) 706-2378

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1831256528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MALLETT WAY #102",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "29910",
            "telephone_number": "843-706-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 NH ROUTE119",
            "city": "RINDGE",
            "state": "NH",
            "postal_code": "03461",
            "telephone_number": "603-899-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLWEGER",
        "first_name": "JUSTIN",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "7781206",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3879",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rindge, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.