Zach Duckworth

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

128132 Issued in IA

Practice address

3731 Kimball Ave
Waterloo, IA 50702-5728

Phone

(319) 232-1143

NPI assigned

Nov 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evansdale Chiropractic Clinic, PLC

  • Chiropractor
  • Evansdale, IA
  • NPI 1477581478
  Medicare reassignment Care Compare group NPD
• Waterloo Chiropractic Center PLLC

  • Chiropractor
  • Waterloo, IA
  • NPI 1225669302
  Medicare reassignment Care Compare group NPD

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evansdale Chiropractic Clinic PLC 2 clinicians

Waterloo Chiropractic Center PLLC 2 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1497579064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3731 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025728",
            "telephone_number": "319-232-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3731 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025728",
            "telephone_number": "319-232-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "ZACH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "128132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drier & Associates, Inc.
• William Drier, PH.D.; LISW
• Craig Warren Driver, D.D.S.
• Gyobanna C Driver, MD
• Pratibha Dua, MD
• Trisha Duitsman, LMHC
• Claire Duncan Vannatta, PT, DPT
• Melissa Jean Dunlevy, LMSW
• Jordan Michael Dunn, LMSW IADC
• Lauren Dunn, MSW, LISW

• All providers in Waterloo, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.