Zachary Tomas Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

938 Issued in ND

Practice address

207 1St Ave S
New Rockford, ND 58356-1800

Phone

(701) 947-2121

Fax

(701) 947-2012

NPI assigned

Jan 14, 2013

Last updated

Jan 14, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in ND, TX2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spirit Lake TribeGroup PAC ID 2466550801, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spirit Lake Tribe

  dba Spirit Lake Health Center

  • Health Service Clinic/Center
  • Fort Totten, ND
  • NPI 1114472891

  TX

  Medicare reassignment Care Compare group NPD
• Nicolai Chiropractic Center, P.C.

  • Chiropractor
  • New Rockford, ND
  • NPI 1760606388
  Medicare reassignment NPD

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1194062927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1ST AVE S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561800",
            "telephone_number": "701-947-2121",
            "fax_number": "701-947-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST AVE S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561800",
            "telephone_number": "701-947-2121",
            "fax_number": "701-947-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ZACHARY",
        "middle_name": "TOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolai Chiropractic Center, P.C.
• Michael Kenneth Nicolai, DC
• Dusti L Nystrom
• Peak Performance Physical Therapy and Sports Medicine, PLLC
• Michelle Pfeiffer, LMT
• Georgianna Walker, MS, LRD
• Kimberly Weber, DC, MS
• Bonnie Williams, LSW
• Liza A Ystaas, FNP-C
• Melissa Ystaas, PT

• Chiropractor in New Rockford, ND
• Providers in New Rockford, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.