Zachariah Roberts, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3405 Issued in TN

Practice address

611 S 1St St
Pulaski, TN 38478-4201

Phone

(931) 363-7440

NPI assigned

Jul 7, 2021

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 TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Taylormade Medical LLC

  • Chiropractor
  • Pulaski, TN
  • NPI 1285224543
  Medicare reassignment NPD

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1245801562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 MORGAN ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784666",
            "telephone_number": "931-638-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S 1ST ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384784201",
            "telephone_number": "931-363-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "ZACHARIAH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revere Wellness LLC
• Kayla Nicole Ridley
• Michele Elaine Ries, LCSW
• Jennifer Marianne Rikard, NP-C
• Cara Riley, DO
• Christian Sheree Robertson, LBSW
• Erin McCuiston Robertson, RD, LDN
• Rodrick R. Gregory, M.D.,P.C.
• Roger D. Bailey DC PLLC
• Angela Rubelsky

• All providers in Pulaski, TN
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.