Organization Active NPI

Zaideman Natural Health, PLLC

Doing business as North Florida Spine and Wellness

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1821514019
Registry record updated Aug 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH10713 Issued in FL
Legal business name
ZAIDEMAN NATURAL HEALTH, PLLC
Doing business as
North Florida Spine and Wellness
Practice address
1610 W Plaza Dr
Tallahassee, FL 32308-5324
Phone
(850) 445-2396
Fax
(850) 877-4194
NPI assigned
Aug 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2017

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

Authorized official

Name
Matthew Zaideman, DCNPI 1124375449
Title
Owner
Phone
(850) 445-2396

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH10713 FL Primary

Addresses

Primary practice location

1610 W Plaza Dr
Tallahassee, FL 32308-5324

Mailing address

727 Violet St
Tallahassee, FL 32308-6274
Phone (850) 445-2396

Other names 1

  • North Florida Spine and Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018002503 FL Part B Supplier - Clinic/Group Practice 9335415322 Receives reassigned benefits from 3 practitioners
Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2198629North Florida Spine and Wellness1610 West Plaza Drive, Tallahassee, FL 32308Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

1610 W Plaza Dr
Tallahassee, FL 32308
Phone (850) 787-6790

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503014400000",
    "number": "1821514019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 VIOLET ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086274",
            "telephone_number": "850-445-2396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085324",
            "telephone_number": "850-445-2396",
            "fax_number": "850-877-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAIDEMAN NATURAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A",
        "authorized_official_last_name": "ZAIDEMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-445-2396",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH10713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Spine and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2017; 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.