Individual provider Active NPI

Joseph Allen Zamzow, D.C.

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1386720498
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8827 Issued in FL
Practice address
6030 S Florida Ave Ste 115
Lakeland, FL 33813
Phone
(863) 646-3388
Fax
(863) 646-3380
NPI assigned
Oct 31, 2006
Last updated
Jul 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8827 FL Primary

Addresses

Primary practice location

6030 S Florida Ave Ste 115
Lakeland, FL 33813

Mailing address

6030 S Florida Ave Ste 115
Lakeland, FL 33813-3351
Phone (863) 646-3388

Other practice location 1

5151 S Lakeland Dr
Suite 6
Lakeland, FL 33813-2518
Phone (863) 646-3388

Other practice location 2

6030 S Florida Ave Ste 115
Lakeland, FL 33813-3351
Phone (863) 646-3388

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070929000034 FL Practitioner - Chiropractic 2365537735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3709 W McKay Ave
Tampa, FL 33609-4519
Phone (813) 644-4204

6030 S Florida Ave
Suite 115
Lakeland, FL 33813-3351
Phone (863) 646-3388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8827FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Sports Performance Inc Chiropractor CurrentSince Jan 9, 2007 Accepting new patients

Locations

5151 S Lakeland Dr
Ste 6
Lakeland, FL 33813
Phone (863) 646-3388

6030 S Florida Ave
Lakeland, FL 33813
Phone (863) 644-4496

6030 S Florida Ave
Ste 115
Lakeland, FL 33813
Phone (863) 646-3388

1280 Upsala Rd
Sanford, FL 32771
Phone (407) 831-7331

3709 W McKay Ave
Tampa, FL 33609
Phone (813) 644-4204

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564358400000",
    "number": "1386720498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 S FLORIDA AVE STE 115",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338133351",
            "telephone_number": "863-646-3388",
            "fax_number": "863-646-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 S FLORIDA AVE STE 115",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "33813",
            "telephone_number": "863-646-3388",
            "fax_number": "863-646-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 S Lakeland Dr",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338132518",
            "country_code": "US",
            "telephone_number": "863-646-3388",
            "fax_number": "863-646-3380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6030 S Florida Ave Ste 115",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338133351",
            "country_code": "US",
            "telephone_number": "863-646-3388",
            "fax_number": "863-646-3380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMZOW",
        "first_name": "JOSEPH",
        "middle_name": "ALLEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.