Organization Active NPI

Zinnen Chiropractic PLLC

  • Chiropractor
  • Monroe, MI
National Provider Identifier
1881714038
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007106 Issued in MI
Legal business name
ZINNEN CHIROPRACTIC PLLC
Practice address
2100 S Custer Rd
Monroe, MI 48161-9701
Phone
(734) 241-4500
Fax
(734) 241-4602
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Dr. Jodi Lee Zinnen-NowakNPI 1023107661
Title
Chiropractor
Phone
(734) 241-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007106 MI Primary

Addresses

Primary practice location

2100 S Custer Rd
Monroe, MI 48161-9701

Mailing address

2100 S Custer Rd
Monroe, MI 48161-9701
Phone (734) 241-4500

Other identifiers 2

IdentifierTypeStateIssuer
4815050MedicaidMI
95OE810830OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421001016 MI Part B Supplier - Clinic/Group Practice 1951349737 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, MI

National Provider Directory

National Provider Directory

Locations

534 S Monroe St
Monroe, MI 48161
Phone (734) 241-4500

2100 S Custer Rd
Monroe, MI 48161
Phone (734) 241-4500

910 S Telegraph Rd
Monroe, MI 48161
Phone (734) 241-4500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1881714038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619701",
            "telephone_number": "734-241-4500",
            "fax_number": "734-241-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619701",
            "telephone_number": "734-241-4500",
            "fax_number": "734-241-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZINNEN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "ZINNEN-NOWAK",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "734-241-4500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4815050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95OE810830",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.