Individual provider Active NPI

Warren Joseph Zook, D.C.

  • Chiropractor
  • Buffalo, MN
National Provider Identifier
1871779918
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4133 Issued in MN
Practice address
1111 Highway 25 N Ste 102
Buffalo, MN 55313-1948
Phone
(763) 600-1111
NPI assigned
Jan 19, 2008
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4133 MN Primary

Addresses

Primary practice location

1111 Highway 25 N Ste 102
Buffalo, MN 55313-1948

Mailing address

1111 Highway 25 N Ste 102
Buffalo, MN 55313-1948
Phone (763) 600-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040518000764 MN Practitioner - Chiropractic 6709876949 Practice locations: Buffalo, MN

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Hwy 25 N
Suite 102
Buffalo, MN 55313-1948
Phone (612) 600-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4133MNMDProfessional Counselor
DC4133MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Chiropractic PC Chiropractor CurrentSince Jan 7, 2024 Accepting new patients

Locations

1111 Highway 25 N
Ste 102
Buffalo, MN 55313
Phone (612) 600-1111

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": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1871779918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 25 N STE 102",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131948",
            "telephone_number": "763-600-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 25 N STE 102",
            "city": "BUFFALO",
            "state": "MN",
            "postal_code": "553131948",
            "telephone_number": "763-600-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOOK",
        "first_name": "WARREN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-19",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC4133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; 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.