Active NPI
Jonathan Zook, D.C.
- Chiropractor
- Glendale, OH
National Provider Identifier
1629445309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4530
- Practice address
- 1125 Congress Ave
Glendale, OH 45246-4426 - Phone
- (513) 771-1109
- Fax
- (513) 771-1129
- NPI assigned
- Aug 28, 2015
- 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 | 4530 | OH | Primary |
Addresses
Primary practice location
1125 Congress Ave
Glendale, OH 45246-4426
Mailing address
1125 Congress Ave
Glendale, OH 45246-4426
Phone (513) 771-1109
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 |
|---|---|---|---|
| 4530 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glendale Family Chiropractic | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Glendale, OH
- NPI 1346648979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1629445309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 CONGRESS AVE",
"city": "GLENDALE",
"state": "OH",
"postal_code": "452464426",
"telephone_number": "513-771-1109",
"fax_number": "513-771-1129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 CONGRESS AVE",
"city": "GLENDALE",
"state": "OH",
"postal_code": "452464426",
"telephone_number": "513-771-1109",
"fax_number": "513-771-1129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOOK",
"first_name": "JONATHAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.