Active NPI
Edward P. Zimmer, M.S., D.C.
- Nutrition Chiropractor
- Indianapolis, IN
National Provider Identifier
1881665784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 08001814A
- Practice address
- 9757 Westpoint Dr Ste 500
Indianapolis, IN 46256-3265 - Phone
- (317) 813-1998
- Fax
- (317) 813-1997
- NPI assigned
- Jan 30, 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 |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 08001814A | IN | Primary |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000205171 | Other | IN | BCBS LEGACY PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9757 Westpoint Dr
Suite 500
Indianapolis, IN 46256-3265
Phone (317) 813-1998
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08001814A | IN | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zimmer Family Chiropractic, PC | Nutrition | Current | Accepting new patients |
Locations
9757 Westpoint Dr
Ste 500
Indianapolis, IN 46256
Phone (317) 813-1998
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": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538092800000",
"number": "1881665784",
"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": {
"last_name": "ZIMMER",
"first_name": "EDWARD",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.S., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2018-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "IN",
"license": "08001814A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LEGACY PIN",
"identifier": "000000205171",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
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.
- 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.