Individual provider Active NPI

Zachary Thomas Owens, DC

  • Chiropractor
  • Roseville, CA
National Provider Identifier
1104469204
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34665 Issued in CA
Practice address
201 Harding Blvd Ste J
Roseville, CA 95678-2814
Phone
(916) 784-2727
Fax
(916) 784-3821
NPI assigned
Oct 21, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34665 CA Primary

Addresses

Primary practice location

201 Harding Blvd Ste J
Roseville, CA 95678-2814

Mailing address

201 Harding Blvd Ste J
Roseville, CA 95678-2814
Phone (916) 784-2727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207001623 CA Practitioner - Chiropractic 4385070424 Practice locations: Roseville, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Harding Blvd
Suite J
Roseville, CA 95678-2814
Phone (916) 784-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34665CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Accident and Sports Injury Clinic Chiropractor CurrentSince Oct 27, 2019 Accepting new patients

Locations

201 Harding Blvd
Ste J
Roseville, CA 95678
Phone (916) 784-2727

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1104469204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HARDING BLVD STE J",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782814",
            "telephone_number": "916-784-2727",
            "fax_number": "916-784-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HARDING BLVD STE J",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782814",
            "telephone_number": "916-784-2727",
            "fax_number": "916-784-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.