Active NPI
David A Zemba Jr., DC
- Chiropractor
- Louisville, KY
National Provider Identifier
1710903265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4246
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611326184 | Other | KY | TAX ID# |
| 000000050778 | Other | KY | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4246 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daz Rehab Inc | Past | 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.
-
- Physical Therapist
- Louisville, KY
- NPI 1104105006
-
- Physical Therapist
- Louisville, KY
- NPI 1447538780
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.