Adam Mark Zachman, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5622 Issued in MN

Practice address

104 NE 3Rd St
Ste 220
Grand Rapids, MN 55744-2869

Phone

(763) 670-3379

NPI assigned

Feb 16, 2012

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

Other identifiers 1

Other names 1

• Dr. Adam Mark Zachman Other name

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.

• Performance Chiropractic and Sports Clinic

  • Chiropractor
  • Grand Rapids, MN
  • NPI 1487745477
  NPD (past) Authorized official

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1821361163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NE 3RD ST",
            "address_2": "STE 220",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442869",
            "telephone_number": "763-670-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NE 3RD ST",
            "address_2": "STE 220",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557442869",
            "telephone_number": "763-670-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHMAN",
        "first_name": "ADAM",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "350005030",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADAM",
            "last_name": "ZACHMAN",
            "middle_name": "MARK",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brandi Worrath, MS, LCP
• Michael Yahnke
• Lori Ylitalo
• Michael C. Young, OD
• Antoinette Youngdahl Palecek, MD
• Megan Jo Zerfas, PA-C
• Tracy Zimmerman-Deschepper, APRN
• Roberta L. Zimmerman, MD

• Chiropractor in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.