NPIMap

Individual provider Active NPI

Zeb Austin Zenkner, LMP

  • Specialist
  • Tacoma, WA
National Provider Identifier
1841544335
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00016007 Issued in WA
Practice address
601 S Pine St
Suite. 201
Tacoma, WA 98405-2793
Phone
(253) 396-1000
Fax
(253) 396-1012
NPI assigned
Nov 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00016007 WA Primary

Addresses

Primary practice location

601 S Pine St
Suite. 201
Tacoma, WA 98405-2793

Mailing address

601 S Pine St
Suite. 201
Tacoma, WA 98405-2793
Phone (253) 396-1000

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00016007WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
E1Spine PLLC PastSince May 24, 2020 Accepting new patients
Tacoma Chiropractic Health Connection PastSince Apr 1, 2007 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1841544335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S PINE ST",
            "address_2": "SUITE. 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052793",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S PINE ST",
            "address_2": "SUITE. 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052793",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENKNER",
        "first_name": "ZEB",
        "middle_name": "AUSTIN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00016007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.