Active NPI
Zachary David Sedivy, D.C.
- Chiropractor
- Berea, KY
National Provider Identifier
1447539739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5295
- Practice address
- 148 Oak Meadow Dr
Berea, KY 40403-9580 - Phone
- (618) 972-6530
- NPI assigned
- Aug 4, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5295 | KY | Primary |
Addresses
Primary practice location
148 Oak Meadow Dr
Berea, KY 40403-9580
Mailing address
148 Oak Meadow Dr
Berea, KY 40403-9580
Phone (618) 972-6530
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5295 | KY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1447539739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 OAK MEADOW DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039580",
"telephone_number": "618-972-6530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 OAK MEADOW DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039580",
"telephone_number": "618-972-6530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDIVY",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5295",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berea, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.