Individual provider Active NPI

Zachary Martin, D.C.

  • Chiropractor
  • Wadsworth, OH
National Provider Identifier
1770938169
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4623 Issued in OH
Practice address
201 Great Oaks TRL
Wadsworth, OH 44281-9430
Phone
(330) 336-9500
Fax
(330) 336-3377
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4623 OH Primary

Addresses

Primary practice location

201 Great Oaks TRL
Wadsworth, OH 44281-9430

Mailing address

201 Great Oaks TRL
Wadsworth, OH 44281-9430
Phone (330) 336-9500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160604000021 OH Practitioner - Chiropractic 3274823117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Potential Chiropractic, Inc.Group PAC ID 7810925336, 4 clinicians

Practice addresses (Care Compare)

155 Northland Dr
Medina, OH 44256-1534
Phone (330) 723-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4623OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Potential Chiropractic Westlake, LLC Chiropractor CurrentSince Apr 26, 2022 Accepting new patients
Maximum Potential Chiropractic, Inc. Chiropractor CurrentSince Apr 26, 2022 Accepting new patients

Locations

155 Northland Dr
Medina, OH 44256
Phone (330) 723-1441

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": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1770938169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GREAT OAKS TRL",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819430",
            "telephone_number": "330-336-9500",
            "fax_number": "330-336-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GREAT OAKS TRL",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819430",
            "telephone_number": "330-336-9500",
            "fax_number": "330-336-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ZACHARY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.