Organization Active NPI

Zimmerman Chiropractic Inc.

Doing business as Zimmerman Chiropractic

  • Chiropractor
  • Saint Joseph, MO
National Provider Identifier
1881814085
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE006605 Issued in MO
Legal business name
ZIMMERMAN CHIROPRACTIC INC.
Doing business as
Zimmerman Chiropractic
Practice address
1307 Village Dr # B
Saint Joseph, MO 64506-2457
Phone
(816) 390-9900
Fax
(816) 232-4357
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Mr. Randy Thomas Zimmerman, D.C.NPI 1407886245
Title
Dr. of Chiropractic
Phone
(816) 390-9900

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 CE006605 MO Primary

Addresses

Primary practice location

1307 Village Dr # B
Saint Joseph, MO 64506-2457

Mailing address

1307 Village Dr # B
Saint Joseph, MO 64506-2457
Phone (816) 390-9900

Other names 1

  • ZIMMERMAN CHIROPRACTIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101007001080 MO Part B Supplier - Clinic/Group Practice 6204028327 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Joseph, MO

National Provider Directory

National Provider Directory

Locations

3901 Beck Rd
Ste B
Saint Joseph, MO 64506
Phone (816) 390-9900

1307 Village Dr
Ste B
Saint Joseph, MO 64506
Phone (816) 390-9900

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1881814085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 VILLAGE DR # B",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-390-9900",
            "fax_number": "816-232-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 VILLAGE DR # B",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062457",
            "telephone_number": "816-390-9900",
            "fax_number": "816-232-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DR. OF CHIROPRACTIC",
        "authorized_official_telephone_number": "816-390-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE006605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZIMMERMAN CHIROPRACTIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.