Individual provider Active NPI

Brent Michael Zoller, D.C

  • Chiropractor
  • Cincinnati, OH
National Provider Identifier
1912162041
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3899 Issued in OH
Practice address
8241 Cornell Rd
Suite #200
Cincinnati, OH 45249-2283
Phone
(513) 777-0024
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3899 OH Primary

Addresses

Primary practice location

8241 Cornell Rd
Suite #200
Cincinnati, OH 45249-2283

Mailing address

9641 Foxhound Dr
Miamisburg, OH 45342-5572
Phone (937) 239-4044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000702 OH Practitioner - Chiropractic 9133394810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Infinity Chiropractic and Nutrition LLCGroup PAC ID 7719241439, 2 clinicians

Practice addresses (Care Compare)

99 Edgebrooke Dr
Springboro, OH 45066-1036
Phone (937) 748-0050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3899OHMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Chiropractic and Nutrition LLC Chiropractor CurrentSince Nov 1, 2016 Accepting new patients
Western Row Chiropractic Inc Chiropractor PastSince Mar 7, 2018 Accepting new patients

Locations

99 Edgebrooke Dr
Springboro, OH 45066
Phone (937) 748-0050

Organizations & group practices 2

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1912162041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9641 FOXHOUND DR",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425572",
            "telephone_number": "937-239-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 CORNELL RD",
            "address_2": "SUITE #200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492283",
            "telephone_number": "513-777-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLLER",
        "first_name": "BRENT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.