Active NPI
Scott Philip Zack, D.C.
- Chiropractor
- West Bloomfield, MI
National Provider Identifier
1013964451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008619
- Practice address
- 5761 W Maple Rd
West Bloomfield, MI 48322-2270 - Phone
- (248) 626-6892
- Fax
- (248) 855-2477
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2301008619 | MI | Primary |
Addresses
Primary practice location
5761 W Maple Rd
West Bloomfield, MI 48322-2270
Mailing address
5761 W Maple Rd
West Bloomfield, MI 48322-2270
Phone (248) 626-6892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4722514 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008619 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Healthcare Group, PLLC | Chiropractor | Past | Accepting new patients |
| West Michigan Imaging Partners LLC | Past | Accepting new patients | |
| Universal Health Group, Inc | Chiropractor | Past | Accepting new patients |
| Total Toxicology Labs LLC | Past | Accepting new patients | |
| Health Choice Medical & Chiropractic Centers, P.C. | Chiropractor | Past | Accepting new patients |
| Universal Health Group, Inc. | Chiropractor | Past | Accepting new patients |
| Boulder GX | Past | Accepting new patients |
Organizations & group practices 7
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
- West Bloomfield, MI
- NPI 1790989507
-
- Chiropractor
- West Bloomfield, MI
- NPI 1588832653
-
- Clinical Medical Laboratory
- Spring, TX
- NPI 1447911409
-
- Chiropractor
- Southfield, MI
- NPI 1083708978
-
- Clinical Medical Laboratory
- Southfield, MI
- NPI 1104229541
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Grand Rapids, MI
- NPI 1619213949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013964451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5761 W MAPLE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222270",
"telephone_number": "248-626-6892",
"fax_number": "248-855-2477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5761 W MAPLE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483222270",
"telephone_number": "248-626-6892",
"fax_number": "248-855-2477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACK",
"first_name": "SCOTT",
"middle_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4722514",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.