Active NPI
Zachary Nolan Zugschwerdt, D.C., CCSP
- Sports Physician Chiropractor
- Seattle, WA
National Provider Identifier
1316215593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH 60271312
- Practice address
- 621 5TH Ave N Ste a
Seattle, WA 98109-4241 - Phone
- (206) 858-6667
- Fax
- (206) 607-9957
- NPI assigned
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 32019 | CA | |
| Sports Physician Chiropractor | 111NS0005X | CH 60271312 | WA | Primary |
Addresses
Primary practice location
621 5TH Ave N Ste a
Seattle, WA 98109-4241
Mailing address
621 5TH Ave N
Ste a
Seattle, WA 98109-5316
Phone (206) 858-6667
Other practice location 1
621 5th Ave N Ste A
Seattle, WA 98109-4241
Phone (206) 858-6667
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 60271312 | WA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Functional Health Consulting, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Renton, WA
- NPI 1598548877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510272000000",
"number": "1316215593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 5TH AVE N",
"address_2": "STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095316",
"telephone_number": "206-858-6667",
"fax_number": "206-607-9957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 5TH AVE N STE A",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094241",
"telephone_number": "206-858-6667",
"fax_number": "206-607-9957"
}
],
"practiceLocations": [
{
"address_1": "621 5th Ave N Ste A",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981094241",
"country_code": "US",
"telephone_number": "206-858-6667",
"fax_number": "206-607-9957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZUGSCHWERDT",
"first_name": "ZACHARY",
"middle_name": "NOLAN",
"name_prefix": "Dr.",
"credential": "D.C., CCSP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2017-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "32019",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WA",
"license": "CH 60271312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.