Individual provider Active NPI

Zachary David Mullin, DC

  • Chiropractor
  • Ankeny, IA
National Provider Identifier
1871998732
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
081227 Issued in IA
Practice address
2201 W 1St St Ste 3
Ankeny, IA 50023-2484
Phone
(515) 964-8547
NPI assigned
Nov 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 081227 IA Primary

Addresses

Primary practice location

2201 W 1St St Ste 3
Ankeny, IA 50023-2484

Mailing address

2550 Middle Rd
Ste 400
Bettendorf, IA 52722-3288
Phone (563) 359-4203

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160426000191 IA Practitioner - Chiropractic 7719286707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2550 Middle Rd
Suite 400
Bettendorf, IA 52722-3288
Phone (563) 359-4203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Health Systems Inc Chiropractor CurrentSince Jan 6, 2022 Accepting new patients
Elite Health Systems Inc Chiropractor PastSince Jan 6, 2022 Accepting new patients
Balanced Body Chiropractic & Wellness LLC Chiropractor Past Accepting new patients

Locations

2550 Middle Rd
Ste 400
Bettendorf, IA 52722
Phone (563) 359-4203

Organizations & group practices 3

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": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1871998732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MIDDLE RD",
            "address_2": "STE 400",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223288",
            "telephone_number": "563-359-4203",
            "fax_number": "563-345-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W 1ST ST STE 3",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232484",
            "telephone_number": "515-964-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "ZACHARY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "081227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.