Active NPI
Zachary David Fatkin, D.C.
- Chiropractor
- Reading, PA
National Provider Identifier
1184743577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC007455L
- Practice address
- 2421 Kutztown Rd
Reading, PA 19605-2957 - Phone
- (610) 939-0780
- Fax
- (610) 939-0780
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007455L | PA | Primary |
Addresses
Primary practice location
2421 Kutztown Rd
Reading, PA 19605-2957
Mailing address
117 Greenwood Dr
Temple, PA 19560-9766
Phone (610) 939-1474
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1034791 | Other | PA | CAPITAL BLUE CROSS |
| 7285770 | Other | AETNA | |
| FA996411 | Other | PA | HIGHMARK BLUE SHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184743577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 GREENWOOD DR",
"city": "TEMPLE",
"state": "PA",
"postal_code": "195609766",
"telephone_number": "610-939-1474",
"fax_number": "610-939-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 KUTZTOWN RD",
"city": "READING",
"state": "PA",
"postal_code": "196052957",
"telephone_number": "610-939-0780",
"fax_number": "610-939-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATKIN",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007455L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "1034791",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7285770",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "FA996411",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.