Individual provider Active NPI

Connor Albert Zak, DC

  • Chiropractor
  • Clearwater, FL
National Provider Identifier
1366321929
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15572 Issued in FL
Practice address
3023 Eastland Blvd Ste 101
Clearwater, FL 33761-4106
Phone
(727) 797-9900
NPI assigned
Aug 28, 2025
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15572 FL Primary

Addresses

Primary practice location

3023 Eastland Blvd Ste 101
Clearwater, FL 33761-4106

Mailing address

10265 Gandy Blvd N Apt 1208
St Petersburg, FL 33702-2333
Phone (716) 939-6234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251022000423 FL Practitioner - Chiropractic 9335637313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10265 Gandy Blvd N
Apt 1208
St Petersburg, FL 33702-2333

3023 Eastland Blvd
Suite 101
Clearwater, FL 33761-4106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15572FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Risoldi Family Chiropractic PA Chiropractor CurrentSince Oct 10, 2025 Accepting new patients

Locations

3023 Eastland Blvd
#H101
Clearwater, FL 33761
Phone (727) 797-9900

3023 Eastland Blvd
Ste 101
Clearwater, FL 33761
Phone (727) 797-9900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1366321929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10265 GANDY BLVD N APT 1208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022333",
            "telephone_number": "716-939-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 EASTLAND BLVD STE 101",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337614106",
            "telephone_number": "727-797-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAK",
        "first_name": "CONNOR",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "15572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.