Individual provider Active NPI

Zachary Vansen, D.C

  • Chiropractor
  • Shelby Township, MI
National Provider Identifier
1922543859
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010456 Issued in MI
Practice address
51543 Schoenherr Rd
Shelby Township, MI 48315-2735
Phone
(586) 991-1505
Fax
(586) 580-7195
NPI assigned
Jan 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010456 MI Primary

Addresses

Primary practice location

51543 Schoenherr Rd
Shelby Township, MI 48315-2735

Mailing address

51543 Schoenherr Rd
Shelby Township, MI 48315-2735
Phone (586) 991-1505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190207001375 MI Practitioner - Chiropractic 9133467616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Chiropractic PCGroup PAC ID 7416294228, 2 clinicians

Practice addresses (Care Compare)

51543 Schoenherr Rd
Shelby Township, MI 48315-2735
Phone (586) 991-1505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010456MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Chiropractic, P.C. Chiropractor CurrentSince Mar 6, 2018 Accepting new patients
Pickman Chiropractic Inc. Chiropractor PastSince Jan 17, 2019 Accepting new patients
Pickman Chiropractic Chiropractor Past Accepting new patients

Locations

51543 Schoenherr Rd
Shelby Township, MI 48315
Phone (586) 991-1505

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1922543859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51543 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152735",
            "telephone_number": "586-991-1505",
            "fax_number": "586-580-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51543 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152735",
            "telephone_number": "586-991-1505",
            "fax_number": "586-580-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANSEN",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-02",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.