Zachary David Nelson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010813 Issued in MI

Practice address

11279 Tallmadge Woods Dr NW
Grand Rapids, MI 49534-6318

Phone

(616) 791-9702

Fax

(616) 791-4661

NPI assigned

May 6, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Zachary David Nelson Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Chiropractic Plus, P.C.

  • Nutrition Chiropractor
  • Grand Rapids, MI
  • NPI 1952349235
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1164087052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11279 TALLMADGE WOODS DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495346318",
            "telephone_number": "616-791-9702",
            "fax_number": "616-791-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11279 TALLMADGE WOODS DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495346318",
            "telephone_number": "616-791-9702",
            "fax_number": "616-791-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACHARY",
            "last_name": "NELSON",
            "middle_name": "DAVID",
            "prefix": "DR.",
            "credential": "ZACHARY NELSON DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sara Nelson
• Sara Nelson
• Sheryl Nelson
• Stephen Nelson
• Tawnie Nelson, BEHAVIOR TECHNICIAN
• Caitlin Marie Nemeth, MD
• Kevin M. Nemeth, M.D.
• Neo Natal Associates PLC
• Nephrology Consultants of Grand Rapids PC
• Heidi Nereson-Bott, LLPC

• Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.