Active NPI
Carol L Wood-Zanchetta, D.C.
- Chiropractor
- Saint Clair Shores, MI
National Provider Identifier
1871669846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301005960
- Practice address
- 26000 Harper Avenue Suite a
Saint Clair Shores, MI 48081 - Phone
- (586) 774-7920
- Fax
- (586) 774-8336
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301005960 | MI | Primary |
| Chiropractor | 111N00000X | CW005960 | MI |
Addresses
Primary practice location
26000 Harper Avenue Suite a
Saint Clair Shores, MI 48081
Mailing address
26000 Harper Avenue Suite a
Saint Clair Shores, MI 48081
Phone (586) 774-7920
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4505020 | Medicaid | MI | |
| 103477 | Other | MI | GREAT LAKES HEALTH PLAN |
| CW005960 | Other | MA | WORK COMP |
| CW005960 | Other | MI | COMMERCIAL |
| 950E010690 | Other | MI | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26000 Harper Ave
Suite a
Saint Clair Shores, MI 48081-3773
Phone (586) 774-7920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301005960 | MI | MD | Chiropractor |
| CW005960 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan a. Baetens, D.C., P.C. | Chiropractor | Current | Accepting new patients |
| Purdy Chiropractic Clinic, P.C. | Chiropractor | Past | Accepting new patients |
Locations
26000 Harper Ave
Ste A
St Clr Shores, MI 48081
Phone (586) 774-7920
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.
-
- Chiropractor
- Saint Clair Shores, MI
- NPI 1477607679
-
- Chiropractor
- Warren, MI
- NPI 1770650368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1871669846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26000 HARPER AVENUE SUITE A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "48081",
"telephone_number": "586-774-7920",
"fax_number": "586-774-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26000 HARPER AVENUE SUITE A",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "48081",
"telephone_number": "586-774-7920",
"fax_number": "586-774-8336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD-ZANCHETTA",
"first_name": "CAROL",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301005960",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "CW005960",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4505020",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH PLAN",
"identifier": "103477",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP",
"identifier": "CW005960",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "CW005960",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "950E010690",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.