Individual provider Active NPI

Lindsey Marie Zerdecki, DC

  • Chiropractor
  • Allentown, PA
National Provider Identifier
1326257494
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009875 Issued in PA
Practice address
5930 Hamilton Blvd.
Suite 8
Allentown, PA 18106
Phone
(610) 842-2204
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009875 PA Primary

Addresses

Primary practice location

5930 Hamilton Blvd.
Suite 8
Allentown, PA 18106

Mailing address

5930 Hamilton Blvd.
Suite 8
Allentown, PA 18106
Phone (610) 842-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080118000085 PA Practitioner - Chiropractic 3971684788 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Chiropractic Inc Chiropractor CurrentSince Oct 5, 2009 Accepting new patients
Jenifer L. Dewald, DC PC Chiropractor PastSince Mar 1, 2003 Accepting new patients
Williamsport Wellness Center Inc. Chiropractor PastSince Mar 20, 2022 Accepting new patients

Locations

5930 Hamilton Blvd
Ste 8
Allentown, PA 18106
Phone (610) 841-2204

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1326257494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 HAMILTON BLVD.",
            "address_2": "SUITE 8",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "610-842-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 HAMILTON BLVD.",
            "address_2": "SUITE 8",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "610-842-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZERDECKI",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.