Individual provider Active NPI

David A Zemba Jr., DC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1710903265
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4246 Issued in KY
Practice address
147 Chenoweth LN
Louisville, KY 40207-2652
Phone
(502) 895-1915
Fax
(502) 895-1916
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4246 KY Primary

Addresses

Primary practice location

147 Chenoweth LN
Louisville, KY 40207-2652

Mailing address

147 Chenoweth LN
Louisville, KY 40207-2652
Phone (502) 895-1915

Other identifiers 2

IdentifierTypeStateIssuer
611326184OtherKYTAX ID#
000000050778OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040311000676 KY Practitioner - Chiropractic 4587553359 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 Priority Way
Louisville, KY 40299-2362
Phone (502) 893-8887

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4246KYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Daz Rehab Inc PastSince Aug 1, 2011 Accepting new patients
LSC Physical Therapy, PSC Past Accepting new patients

Organizations & group practices 2

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1710903265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072652",
            "telephone_number": "502-895-1915",
            "fax_number": "502-895-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 CHENOWETH LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072652",
            "telephone_number": "502-895-1915",
            "fax_number": "502-895-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMBA",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "611326184",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000050778",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.