Active NPI
Zachary McKendree
- Chiropractor
- Massillon, OH
National Provider Identifier
1003206558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC010995
- Practice address
- 276 Federal Ave NW
Massillon, OH 44647-5469 - Phone
- (330) 833-2085
- Fax
- (330) 833-2067
- NPI assigned
- Feb 4, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC010995 | PA | Primary |
Addresses
Primary practice location
276 Federal Ave NW
Massillon, OH 44647-5469
Mailing address
276 Federal Ave NW
Massillon, OH 44647-5469
Phone (330) 833-2085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4567 | Other | OH | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6040 Library Rd
Bethel Park, PA 15102-4012
Phone (412) 831-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Physical Medicine PC | Chiropractor | Current | Accepting new patients |
| Modern Health Alternatives, Inc. | Chiropractor | Current | Accepting new patients |
| Allegheny Physical Medicine | Current | Accepting new patients | |
| Choice Restorative Medicine LLC. | Past | Accepting new patients |
Locations
276 Federal Ave NW
Massillon, OH 44647
Phone (330) 833-2085
6040 Library Rd
Bethel Park, PA 15102
Phone (412) 331-2225
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
- OH PPO
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
Organizations & group practices 4
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.
-
- Chiropractor
- Bethel Park, PA
- NPI 1699798918
-
- Chiropractor
- Massillon, OH
- NPI 1154491389
-
- Acupuncturist
- Bethel Park, PA
- NPI 1457709974
-
- Multi-Specialty Clinic/Center
- Pittsburgh, PA
- NPI 1578076774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446163200000",
"number": "1003206558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "276 FEDERAL AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446475469",
"telephone_number": "330-833-2085",
"fax_number": "330-833-2067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 FEDERAL AVE NW",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446475469",
"telephone_number": "330-833-2085",
"fax_number": "330-833-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENDREE",
"first_name": "ZACHARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-04",
"last_updated": "2015-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC010995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4567",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; 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.