Individual provider Active NPI

Zackary Joseph Clor, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waterford, MI
National Provider Identifier
1497497903
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400574 Issued in MI
Practice address
7116 Highland Rd
Waterford, MI 48327-1503
Phone
(248) 666-8807
Fax
(248) 666-7709
NPI assigned
Apr 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901400574 MI Primary

Addresses

Primary practice location

7116 Highland Rd
Waterford, MI 48327-1503

Mailing address

7116 Highland Rd
Waterford, MI 48327-1503
Phone (248) 666-8807

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251202000466 MI Practitioner - Podiatry 6507253085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kris a Haase DPM PLCGroup PAC ID 6406868389, 2 clinicians

Practice addresses (Care Compare)

7116 Highland Rd
Waterford, MI 48327-1503
Phone (248) 666-8807

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400574MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kris a Haase DPM PLC Foot & Ankle Surgery CurrentSince Aug 25, 2025 Accepting new patients

Locations

7116 Highland Rd
Waterford, MI 48327
Phone (248) 666-8807

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1497497903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 HIGHLAND RD",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271503",
            "telephone_number": "248-666-8807",
            "fax_number": "248-666-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOR",
        "first_name": "ZACKARY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.