Maximillan Zdrada, D.C.

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

CH11916 Issued in FL

Practice address

136 N Orchard St
Suite 3
Ormond Beach, FL 32174-9534

Phone

(386) 310-8096

Fax

(386) 066-0292

NPI assigned

Aug 12, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Aligned Integrative Healthcare

  • Chiropractor
  • Ormond Beach, FL
  • NPI 1225419922
  NPD (past)

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1760936249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N ORCHARD ST",
            "address_2": "SUITE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N ORCHARD ST",
            "address_2": "SUITE 3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321749534",
            "telephone_number": "386-310-8096",
            "fax_number": "386-066-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZDRADA",
        "first_name": "MAXIMILLAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "FL",
            "license": "CH11916",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "FL",
            "license": "CH11916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Leigh Zahn, MSR, CCC-SLP
• John Zak III, M.D.
• Maria Zakhary, DMD
• Sandra Zaki
• Deborah Zarajczyk, CCC/A
• Juliana Joy Zeigler, D.C.
• Zentheo LLC
• Yulia Zhirnova, APRN, PMHNP-BC
• Zia Health LLC
• Shayna Maria Zimmer, PA-C

• Independent Medical Examiner Chiropractor in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Independent Medical Examiner Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.