Individual provider Active NPI

Kerim Sukri Zouvalekov, D.C.

  • Chiropractor
  • Mount Vernon, OH
National Provider Identifier
1841213766
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC.2676 Issued in OH
Practice address
1 Avalon Rd
Suite 1
Mount Vernon, OH 43050-6402
Phone
(740) 393-3791
Fax
(740) 393-3719
NPI assigned
Jul 25, 2006
Last updated
Jan 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC.2676 OH Primary

Addresses

Primary practice location

1 Avalon Rd
Suite 1
Mount Vernon, OH 43050-6402

Mailing address

1 Avalon Rd
Suite 1
Mount Vernon, OH 43050-6402
Phone (740) 393-3791

Other identifiers 2

IdentifierTypeStateIssuer
2141186MedicaidOH
7116053OtherOHAETNA

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

LicenseStateTypeSpecialty
DC.2676OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Wellness & Chiropractic Center LLC Chiropractor PastSince Feb 7, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1841213766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AVALON RD",
            "address_2": "SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430506402",
            "telephone_number": "740-393-3791",
            "fax_number": "740-393-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVALON RD",
            "address_2": "SUITE 1",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430506402",
            "telephone_number": "740-393-3791",
            "fax_number": "740-393-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOUVALEKOV",
        "first_name": "KERIM",
        "middle_name": "SUKRI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC.2676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141186",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7116053",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.