Individual provider Active NPI

Zakary Stanton, AT,ATC,SCAT

  • Student in an Organized Health Care Education/Training Program
  • Loris, SC
National Provider Identifier
1902264864
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
1730 Issued in SC
Practice address
301 Loris Lions Rd
Loris, SC 29569-5004
Phone
(843) 380-6260
NPI assigned
Feb 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 1730 SC Primary

Addresses

Primary practice location

301 Loris Lions Rd
Loris, SC 29569-5004

Mailing address

708 32ND Avenue South
Apartment B
Atlantic Beach, SC 29582
Phone (330) 442-2029

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
1730SCMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1902264864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 32ND AVENUE SOUTH",
            "address_2": "APARTMENT B",
            "city": "ATLANTIC BEACH",
            "state": "SC",
            "postal_code": "29582",
            "telephone_number": "330-442-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 LORIS LIONS RD",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295695004",
            "telephone_number": "843-380-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANTON",
        "first_name": "ZAKARY",
        "credential": "AT,ATC,SCAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": "1730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.