Individual provider Active NPI

Martin Philip Zahl, D.C.

  • Chiropractor
  • Allendale, MI
National Provider Identifier
1205953973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008634 Issued in MI
Practice address
11219 Brown Ave
Allendale, MI 49401-9319
Phone
(616) 895-5035
Fax
(616) 895-5035
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008634 MI Primary

Addresses

Primary practice location

11219 Brown Ave
Allendale, MI 49401-9319

Mailing address

11219 Brown Ave
Allendale, MI 49401-9319
Phone (616) 895-5035

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2301008634MIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205953973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11219 BROWN AVE",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019319",
            "telephone_number": "616-895-5035",
            "fax_number": "616-895-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11219 BROWN AVE",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494019319",
            "telephone_number": "616-895-5035",
            "fax_number": "616-895-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAHL",
        "first_name": "MARTIN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allendale, MI

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.

Verify at the official NPI Registry.