Individual provider Active NPI

Edward P. Zimmer, M.S., D.C.

  • Nutrition Chiropractor
  • Indianapolis, IN
National Provider Identifier
1881665784
Registry record updated Sep 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
08001814A Issued in IN
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

Updated by the provider on Sep 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000205171OtherINBCBS LEGACY PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080229000594 IN Practitioner - Chiropractic 4880652783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zimmer Family Chiropractic, PCGroup PAC ID 8628036522, 2 clinicians

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

LicenseStateTypeSpecialty
08001814AINMDNutrition Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zimmer Family Chiropractic, PC Nutrition CurrentSince Jan 31, 2001 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.

Verify at the official NPI Registry.