Individual provider Active NPI

Shelby Nicole Zackaroff, D.C., M.S.

  • Chiropractor
  • Twinsburg, OH
National Provider Identifier
1891011094
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4045 Issued in OH
Practice address
8900 Darrow Rd Ste H102
Twinsburg, OH 44087-6801
Phone
(330) 963-2273
Fax
(330) 963-2275
NPI assigned
Apr 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4045 OH Primary

Addresses

Primary practice location

8900 Darrow Rd Ste H102
Twinsburg, OH 44087-6801

Mailing address

8900 Darrow Rd Ste H102
Twinsburg, OH 44087-6801
Phone (330) 963-2273

Other names 1

  • Dr. Shelby Nicole Vojtech Zackaroff Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810001198 OH Practitioner - Chiropractic 9335273515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ChiromaxGroup PAC ID 9032359468, 2 clinicians

Practice addresses (Care Compare)

8900 Darrow Rd
Suite H102
Twinsburg, OH 44087-6801
Phone (330) 963-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4045OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiromax Chiropractor CurrentSince Mar 15, 2013 Accepting new patients
Pinnacle Chiropractic Health & Wellness Center, LLC Chiropractor Past Accepting new patients

Locations

8900 Darrow Rd
Ste H102
Twinsburg, OH 44087
Phone (330) 487-1170

8900 Darrow Rd
Ste H104
Twinsburg, OH 44087
Phone (330) 963-2273

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, 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": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1891011094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 DARROW RD STE H102",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440876801",
            "telephone_number": "330-963-2273",
            "fax_number": "330-963-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 DARROW RD STE H102",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440876801",
            "telephone_number": "330-963-2273",
            "fax_number": "330-963-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACKAROFF",
        "first_name": "SHELBY",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "D.C., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "VOJTECH ZACKAROFF",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "D.C., M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.