Individual provider Active NPI

Zachary Steven Lovell, DC

  • Chiropractor
  • Idaho Falls, ID
National Provider Identifier
1013557511
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIA-1991 Issued in ID
Practice address
740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone
(208) 542-9111
Fax
(208) 542-9114
NPI assigned
Jan 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIA-1991 ID Primary

Addresses

Primary practice location

740 S Woodruff Ave
Idaho Falls, ID 83401-5285

Mailing address

740 S Woodruff Ave
Idaho Falls, ID 83401-5285
Phone (208) 542-9111

Other practice location 1

1320 S Ammon Rd
Ammon, ID 83406-5810
Phone (208) 360-6770

Other practice location 2

3360 S 15th E
Idaho Falls, ID 83404-8321
Phone (208) 522-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200206002644 ID Practitioner - Chiropractic 1254767452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1547 Midway Ave
Suite B
Ammon, ID 83406-6912
Phone (208) 360-6770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIA-1991IDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Atlast Pocatello LLC Chiropractor CurrentSince Jan 8, 2020 Accepting new patients
Premier Sports & Spine Chiropractor CurrentSince Aug 6, 2024 Accepting new patients
Art of Motion Chiropractic and Sports Medicine PLLC Chiropractor PastSince Jan 1, 2020 Accepting new patients

Locations

1547 Midway Ave
#B
Ammon, ID 83406
Phone (208) 360-6770

1320 S Ammon Rd
Ammon, ID 83406
Phone (208) 529-2084

1800 Flandro Dr
Ste 110
Pocatello, ID 83202
Phone (208) 233-2248

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECBCD/Endpoint/JECBCD

Organizations & group practices 3

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1013557511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015285",
            "telephone_number": "208-542-9111",
            "fax_number": "208-542-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 S Ammon Rd",
            "address_purpose": "LOCATION",
            "city": "Ammon",
            "state": "ID",
            "postal_code": "834065810",
            "country_code": "US",
            "telephone_number": "208-360-6770",
            "fax_number": "208-542-6353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3360 S 15th E",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834048321",
            "country_code": "US",
            "telephone_number": "208-522-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "ZACHARY",
        "middle_name": "STEVEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-11-01",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.