Organization Active NPI

Zortman Chiropractic Clinic PC

  • Chiropractor
  • Grimes, IA
National Provider Identifier
1922090729
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4390 Issued in IA
Legal business name
ZORTMAN CHIROPRACTIC CLINIC PC
Practice address
250 W First Street
Suite D
Grimes, IA 50111-2138
Phone
(515) 986-2233
Fax
(515) 986-0041
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Jerome J. Zortman, D.C.
Title
DC/Owner
Phone
(515) 986-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4390 IA Primary

Addresses

Primary practice location

250 W First Street
Suite D
Grimes, IA 50111-2138

Mailing address

250 W First Street
Suite D
Grimes, IA 50111-2138
Phone (515) 986-2233

Other identifiers 3

IdentifierTypeStateIssuer
0274092MedicaidIA
20581OtherIABCBS
DN7023OtherIARAILROAD MEDICARE

National Provider Directory

National Provider Directory

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": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1922090729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W FIRST STREET",
            "address_2": "SUITE D",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112138",
            "telephone_number": "515-986-2233",
            "fax_number": "515-986-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W FIRST STREET",
            "address_2": "SUITE D",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501112138",
            "telephone_number": "515-986-2233",
            "fax_number": "515-986-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZORTMAN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "ZORTMAN",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DC/OWNER",
        "authorized_official_telephone_number": "515-986-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274092",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20581",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN7023",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.