Individual provider Active NPI

Robert L Zahn, D.C.

  • Chiropractor
  • Shreveport, LA
National Provider Identifier
1093897894
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
374 Issued in LA
Practice address
1005 Southland Park Drive
Shreveport, LA 71118-3218
Phone
(318) 688-1221
Fax
(318) 686-4714
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 374 LA Primary

Addresses

Primary practice location

1005 Southland Park Drive
Shreveport, LA 71118-3218

Mailing address

1005 Southland Park Drive
Shreveport, LA 71118
Phone (318) 688-1221

Other identifiers 1

IdentifierTypeStateIssuer
1953407MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120418000392 LA Practitioner - Chiropractic 3476714411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1005 Southland Park Dr
Shreveport, LA 71118-3218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
374LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zahn Chiropractic Clinic ( a Professional Corporation) CurrentSince Jan 23, 2012 Accepting new patients
Shreveport Health and Wellness Current Accepting new patients

Locations

1005 Southland Park Dr
Shreveport, LA 71118
Phone (318) 688-1221

Networks

  • LA PPO C-SNP

Organizations & group practices 2

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1093897894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 SOUTHLAND PARK DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71118",
            "telephone_number": "318-688-1221",
            "fax_number": "318-686-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 SOUTHLAND PARK DRIVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183218",
            "telephone_number": "318-688-1221",
            "fax_number": "318-686-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHN",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1953407",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.