Individual provider Active NPI

Zachary Ryan Korth, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1881917300
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1612 Issued in NE
Practice address
7116 N 102ND Cir
Omaha, NE 68122-3059
Phone
(402) 933-9799
Fax
(402) 933-9782
NPI assigned
Mar 11, 2010
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 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 1612 NE Primary

Addresses

Primary practice location

7116 N 102ND Cir
Omaha, NE 68122-3059

Mailing address

7116 N 102ND Cir
Omaha, NE 68122-3059
Phone (402) 933-9799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000607 NE Practitioner - Chiropractic 8224154067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7116 N 102ND Cir
Omaha, NE 68122-3059
Phone (402) 933-9799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1612NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Laursen Chiropractic and Performance LLC Chiropractor CurrentSince Oct 31, 2021 Accepting new patients
Zachary R Korth DC PC Chiropractor CurrentSince Aug 5, 2011 Accepting new patients
Performance Chiropractic, LLC Chiropractor PastSince Apr 1, 2004 Accepting new patients

Locations

7116 N 102nd Cir
Omaha, NE 68122
Phone (402) 415-4199

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, 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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1881917300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7116 N 102ND CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681223059",
            "telephone_number": "402-933-9799",
            "fax_number": "402-933-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 N 102ND CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681223059",
            "telephone_number": "402-933-9799",
            "fax_number": "402-933-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORTH",
        "first_name": "ZACHARY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.