Carrolle Ann Zvonar, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

002174 Issued in MN

Practice address

11494 Brink Ave
Chisago City, MN 55013-9411

Phone

(651) 257-3914

Fax

(651) 257-3915

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Northwoods Chiropractic of Chisago City PA

  • Chiropractor
  • Chisago City, MN
  • NPI 1093868184

  Nutrition

  NPD

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1689727778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31864 QUINLAN AVE",
            "city": "CENTER CITY",
            "state": "MN",
            "postal_code": "550127636",
            "telephone_number": "651-307-7524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11494 BRINK AVE",
            "city": "CHISAGO CITY",
            "state": "MN",
            "postal_code": "550139411",
            "telephone_number": "651-257-3914",
            "fax_number": "651-257-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZVONAR",
        "first_name": "CARROLLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "002174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "52P45ZV",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "668226000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Weiher
• Kevin William Welp, COTA
• Dominique Wilson
• Noelle Josephine Wilson, BKIN, MSCPT, DPT
• Steven A Zimmer, OD
• Michael Stephen Zvonar III, D.C.

• Nutrition Chiropractor in Chisago City, MN
• Providers in Chisago City, MN by specialty
• Nutrition Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.