Individual provider Active NPI

Carl Zaycosky, D.C.

  • Chiropractor
  • Wilmington, OH
National Provider Identifier
1356432819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1105 Issued in OH
Practice address
168 W Main St
Wilmington, OH 45177-2239
Phone
(937) 382-3466
Fax
(937) 382-8899
NPI assigned
Sep 27, 2006
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 1105 OH Primary

Addresses

Primary practice location

168 W Main St
Wilmington, OH 45177-2239

Mailing address

168 W Main St
Wilmington, OH 45177-2239
Phone (937) 382-3466

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356432819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772239",
            "telephone_number": "937-382-3466",
            "fax_number": "937-382-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772239",
            "telephone_number": "937-382-3466",
            "fax_number": "937-382-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAYCOSKY",
        "first_name": "CARL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

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.