Active NPI
Derrick Lee Zortman, DC
- Chiropractor
- Plano, TX
National Provider Identifier
1447910724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14972
- Practice address
- 1921 Preston Rd Ste 2008
Plano, TX 75093-5200 - Phone
- (214) 681-3128
- NPI assigned
- Dec 28, 2021
- Last updated
- Dec 28, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 14972 | TX | Primary |
Addresses
Primary practice location
1921 Preston Rd Ste 2008
Plano, TX 75093-5200
Mailing address
432 Red River TRL Apt 1100
Irving, TX 75063-6523
Phone (214) 681-3128
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14972 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640649600000",
"number": "1447910724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 RED RIVER TRL APT 1100",
"city": "IRVING",
"state": "TX",
"postal_code": "750636523",
"telephone_number": "214-681-3128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 PRESTON RD STE 2008",
"city": "PLANO",
"state": "TX",
"postal_code": "750935200",
"telephone_number": "214-681-3128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZORTMAN",
"first_name": "DERRICK",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.