Individual provider Active NPI

Mary H Zega, D.C.

  • Chiropractor
  • The Dalles, OR
National Provider Identifier
1134282882
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2608 Issued in OR
Practice address
818 W 6TH St Ste 2
The Dalles, OR 97058-1147
Phone
(541) 298-1404
NPI assigned
Dec 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27 2608 OR Primary

Addresses

Primary practice location

818 W 6TH St Ste 2
The Dalles, OR 97058-1147

Mailing address

PO Box 1157
Hood River, OR 97031-0074
Phone (541) 386-5925

Other identifiers 4

IdentifierTypeStateIssuer
U-44021OtherORPACC
54573OtherORWA ST DEPT OF LABOR & IND
93-1022799OtherORTAX IDENTIFICATION NUMBER
084004000OtherORBLUE CROSS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2608ORMDClinical Psychologist
27 2608ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tone Chiropractic Chiropractor PastSince Sep 29, 2019 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": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1134282882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1157",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970310074",
            "telephone_number": "541-386-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W 6TH ST STE 2",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581147",
            "telephone_number": "541-298-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEGA",
        "first_name": "MARY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-17",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACC",
            "identifier": "U-44021",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA ST DEPT OF LABOR & IND",
            "identifier": "54573",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "93-1022799",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "084004000",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.