Individual provider Active NPI

Zachary McKendree

  • Chiropractor
  • Massillon, OH
National Provider Identifier
1003206558
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010995 Issued in PA
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

Updated by the provider on Oct 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4567OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150417000337 PA Practitioner - Chiropractic 1153649462 Reassigns benefits to 1 organization
I20151029000950 OH Practitioner - Chiropractic 1153649462 Reassigns benefits to 1 organization

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
Allegheny Physical Medicine PCGroup PAC ID 3678569183, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Allegheny Physical Medicine PC Chiropractor CurrentSince Aug 5, 2019 Accepting new patients
Modern Health Alternatives, Inc. Chiropractor CurrentSince Oct 15, 2015 Accepting new patients
Allegheny Physical Medicine CurrentSince Aug 5, 2019 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.

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.

Verify at the official NPI Registry.