Michael Alexander Zamora, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

279990 Issued in KY

Practice address

2220 Grandview Dr Ste 110
Fort Mitchell, KY 41017-1661

Phone

(859) 320-0245

NPI assigned

May 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Health Center of Fort Mitchell LLC

  • Chiropractor
  • Fort Mitchell, KY
  • NPI 1649817313
  Medicare reassignment NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1811687783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 GRANDVIEW DR STE 110",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410171661",
            "telephone_number": "859-320-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 GRANDVIEW DR STE 110",
            "city": "FORT MITCHELL",
            "state": "KY",
            "postal_code": "410171661",
            "telephone_number": "859-320-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7830 Connector Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421435",
            "country_code": "US",
            "telephone_number": "859-525-2994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "MICHAEL",
        "middle_name": "ALEXANDER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "279990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maydie Mack Wilcox, MPT
• Kayla Renee Worthington
• Elizabeth Wyan
• Ellen M Yass-Reed, M.A.
• Josiah W. Young, O.D.,M.S.

• Chiropractor in Fort Mitchell, KY
• Providers in Fort Mitchell, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.