Individual provider Active NPI

Jeffrey Allen Zeller, D.C.

  • Chiropractor
  • Manistee, MI
National Provider Identifier
1386868669
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007632 Issued in MI
Practice address
234 W Parkdale Ave
Manistee, MI 49660-1130
Phone
(231) 723-3144
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007632 MI Primary

Addresses

Primary practice location

234 W Parkdale Ave
Manistee, MI 49660-1130

Mailing address

234 W Parkdale Ave
Manistee, MI 49660-1130
Phone (231) 723-3144

Other identifiers 2

IdentifierTypeStateIssuer
0E110160OtherMIBCBS GROUP PROVIDER #
4388971MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Manistee

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000356 MI Practitioner - Chiropractic 8628973088 Practice locations: Manistee, MI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

234 W Parkdale Ave
Manistee, MI 49660-1130
Phone 23172331442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
2301007632MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zeller Chiropractic Health LLC Chiropractor CurrentSince Feb 6, 2022 Accepting new patients
Johnson Adult & Pediatric Chiropractic LLC Chiropractor PastSince Feb 6, 2022 Accepting new patients
Zeller Chiropractic Health Center Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

234 W Parkdale Ave
Manistee, MI 49660
Phone (231) 690-1898

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1386868669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 W PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601130",
            "telephone_number": "231-723-3144",
            "fax_number": "231-723-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W PARKDALE AVE",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496601130",
            "telephone_number": "231-723-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER #",
            "identifier": "0E110160",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4388971",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Manistee",
            "affiliation": "N",
            "address_1": "234 W Parkdale Ave",
            "city": "Manistee",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496601130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.