Individual provider Active NPI

Tara S Zeller, D.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1891988176
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0006986 Issued in CO
Practice address
1301 Riverside Ave
Suite 2
Fort Collins, CO 80524-4374
Phone
(970) 493-4049
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Chiropractor 111N00000X CHR.0006986 CO Primary
Internist Chiropractor 111NI0900X CHR.0006986 CO
Nutrition Chiropractor 111NN1001X CHR.0006986 CO
Pediatric Chiropractor 111NP0017X CHR.0006986 CO

Addresses

Primary practice location

1301 Riverside Ave
Suite 2
Fort Collins, CO 80524-4374

Mailing address

1301 Riverside Ave
Suite 2
Fort Collins, CO 80524-4374
Phone (970) 493-4049

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CHR.0006986COMDInternist Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1891988176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIVERSIDE AVE",
            "address_2": "SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244374",
            "telephone_number": "970-493-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERSIDE AVE",
            "address_2": "SUITE 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244374",
            "telephone_number": "970-493-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "TARA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0006986",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "CO",
            "license": "CHR.0006986",
            "primary": false
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CO",
            "license": "CHR.0006986",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "CHR.0006986",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.