Individual provider Active NPI

Scott V. Zylstra, D.C.

  • Chiropractor
  • Sylacauga, AL
National Provider Identifier
1790789386
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1184 Issued in AL
Practice address
11 Western Ave
Sylacauga, AL 35150-2939
Phone
(256) 245-0404
Fax
(256) 245-0404
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1184 AL Primary

Addresses

Primary practice location

11 Western Ave
Sylacauga, AL 35150-2939

Mailing address

11 Western Ave
Sylacauga, AL 35150-2939
Phone (256) 245-0404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000739 AL Practitioner - Chiropractic 9335320357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Western Ave
Sylacauga, AL 35150-2939
Phone (256) 245-0404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1184ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coosa Valley Chiropractic Center,Inc. Chiropractor CurrentSince Nov 5, 1993 Accepting new patients
Orthopaedic Specialists of Alabama, PC PastSince Nov 5, 1993 Accepting new patients

Locations

11 Western Ave
Sylacauga, AL 35150
Phone (205) 245-0404

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1790789386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WESTERN AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502939",
            "telephone_number": "256-245-0404",
            "fax_number": "256-245-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WESTERN AVE",
            "city": "SYLACAUGA",
            "state": "AL",
            "postal_code": "351502939",
            "telephone_number": "256-245-0404",
            "fax_number": "256-245-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLSTRA",
        "first_name": "SCOTT",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylacauga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.