Organization Active NPI

Zachary R Korth DC PC

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1881976421
Registry record updated Sep 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1612 Issued in NE
Legal business name
ZACHARY R KORTH DC PC
Practice address
5421 N 103Rd St
Suite Number 200
Omaha, NE 68134-1000
Phone
(402) 493-1722
Fax
(402) 493-1755
NPI assigned
Sep 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2011

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

Authorized official

Name
Dr. Zachary Ryan Korth, D.C.NPI 1881917300
Title
President
Phone
(402) 369-1498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1612 NE Primary

Addresses

Primary practice location

5421 N 103Rd St
Suite Number 200
Omaha, NE 68134-1000

Mailing address

5421 N 103Rd St
Suite Number 200
Omaha, NE 68134-1000
Phone (402) 493-1722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110913000248 NE Part B Supplier - Clinic/Group Practice 2264603836 Receives reassigned benefits from 1 practitioner
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315526400000",
    "number": "1881976421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 N 103RD ST",
            "address_2": "SUITE NUMBER 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341000",
            "telephone_number": "402-493-1722",
            "fax_number": "402-493-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 N 103RD ST",
            "address_2": "SUITE NUMBER 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341000",
            "telephone_number": "402-493-1722",
            "fax_number": "402-493-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY R KORTH DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-09-09",
        "status": "A",
        "authorized_official_last_name": "KORTH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-369-1498",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.