Organization Active NPI

Zastrow Chiropractic Clinic Inc

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1720003650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7545 Issued in AZ
Legal business name
ZASTROW CHIROPRACTIC CLINIC INC
Practice address
18775 N Reems Rd
Suite 360
Surprise, AZ 85374-8647
Phone
(623) 975-0888
Fax
(623) 975-0843
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jed Lee Zastrow, DC BSNPI 1104096270
Title
President Ceo
Phone
(623) 975-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 7545 AZ Primary

Addresses

Primary practice location

18775 N Reems Rd
Suite 360
Surprise, AZ 85374-8647

Mailing address

18775 N Reems Rd
Suite 360
Surprise, AZ 85374-8647
Phone (623) 975-0888

Other identifiers 3

IdentifierTypeStateIssuer
5617285OtherAZFIRST HEALTH
AZ0944850OtherAZBCBS OF AZ
920000MedicaidAZ

National Provider Directory

National Provider Directory

Locations

18775 N Reems Rd
Ste 360
Surprise, AZ 85374
Phone (602) 717-2533

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720003650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18775 N REEMS RD",
            "address_2": "SUITE 360",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748647",
            "telephone_number": "623-975-0888",
            "fax_number": "623-975-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18775 N REEMS RD",
            "address_2": "SUITE 360",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748647",
            "telephone_number": "623-975-0888",
            "fax_number": "623-975-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZASTROW CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZASTROW",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "623-975-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC BS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5617285",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AZ",
            "identifier": "AZ0944850",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.