Active NPI
Matthew Charles Zimmerman, DC
- Chiropractor
- Cornelius, NC
National Provider Identifier
1851325732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2174
- Practice address
- 21031 Catawba Ave
Cornelius, NC 28031-8824 - Phone
- (704) 896-8112
- Fax
- (704) 896-8114
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2174 | SC | Primary |
Addresses
Primary practice location
21031 Catawba Ave
Cornelius, NC 28031-8824
Mailing address
221031 Catawba Avenue
Cornelius, NC 28031
Phone (704) 896-8112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GCH325 | Medicaid | SC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3707 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259625600000",
"number": "1851325732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221031 CATAWBA AVENUE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "28031",
"telephone_number": "704-896-8112",
"fax_number": "704-896-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21031 CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318824",
"telephone_number": "704-896-8112",
"fax_number": "704-896-8114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "MATTHEW",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2009-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GCH325",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.