Active NPI
Zachary Wayne McCallister, D.C.
- Chiropractor
- Marietta, OH
National Provider Identifier
1821399858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4123
- Practice address
- 325 4TH St
Suite B
Marietta, OH 45750-2002 - Phone
- (740) 376-9944
- Fax
- (740) 376-0094
- NPI assigned
- Nov 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4123 | OH | Primary |
Addresses
Primary practice location
325 4TH St
Suite B
Marietta, OH 45750-2002
Mailing address
325 4TH St
Suite B
Marietta, OH 45750-2002
Phone (740) 376-9944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4123 | OH | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1821399858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 4TH ST",
"address_2": "SUITE B",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502002",
"telephone_number": "740-376-9944",
"fax_number": "740-376-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 4TH ST",
"address_2": "SUITE B",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457502002",
"telephone_number": "740-376-9944",
"fax_number": "740-376-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCALLISTER",
"first_name": "ZACHARY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-08",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.