Individual provider Active NPI

Stephen D Zmoos, D.C.

  • Chiropractor
  • Sacramento, CA
National Provider Identifier
1073685368
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 15489 Issued in CA
Practice address
7000 Franklin Blvd Ste 190
Sacramento, CA 95823-1865
Phone
(916) 601-8623
Fax
(916) 427-1756
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15489 CA
Chiropractor 111N00000X DC 15489 CA Primary

Addresses

Primary practice location

7000 Franklin Blvd Ste 190
Sacramento, CA 95823-1865

Mailing address

7000 Franklin Blvd Ste 190
Sacramento, CA 95823-1865
Phone (916) 601-8623

Other identifiers 1

IdentifierTypeStateIssuer
9852438MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331001713 CA Practitioner - Chiropractic 3173515012 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5417 Florin Rd
Sacramento, CA 95823-2105
Phone (916) 601-8623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 15489CAMDChiropractor
15489CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Medical Center Inc Past Accepting new patients

Organizations & group practices 1

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1073685368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 FRANKLIN BLVD STE 190",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231865",
            "telephone_number": "916-601-8623",
            "fax_number": "916-427-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 FRANKLIN BLVD STE 190",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958231865",
            "telephone_number": "916-601-8623",
            "fax_number": "916-427-1756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMOOS",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15489",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 15489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9852438",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.