Active NPI
Mark Zannetti, D.C.
- Nutrition Chiropractor
- Lyndhurst, OH
National Provider Identifier
1962454678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 1073
- Practice address
- 5584 Mayfield Rd
Lyndhurst, OH 44124-2928 - Phone
- (440) 442-6969
- Fax
- (440) 442-8312
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 1073 | OH | Primary |
Addresses
Primary practice location
5584 Mayfield Rd
Lyndhurst, OH 44124-2928
Mailing address
5584 Mayfield Rd
Lyndhurst, OH 44124-2928
Phone (440) 442-6969
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23009 | Other | OH | QUALCHOICE INS. |
| 341292394 | Other | OH | WORKERS' COMPENSATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5584 Mayfield Rd
Lyndhurst, OH 44124-2928
Phone (440) 442-6969
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ralph Siegenthaler Inc | Current | Accepting new patients | |
| Cleveland Family Chiropractic, Inc. | Past | Accepting new patients |
Locations
5584 Mayfield Rd
Lyndhurst, OH 44124
Phone (440) 442-6969
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 and National Provider Directory roles.
-
- Clinic/Center
- Lyndhurst, OH
- NPI 1194084582
-
- Chiropractor
- Lyndhurst, OH
- NPI 1649491747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1962454678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5584 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242928",
"telephone_number": "440-442-6969",
"fax_number": "440-442-8312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5584 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242928",
"telephone_number": "440-442-6969",
"fax_number": "440-442-8312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZANNETTI",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "OH",
"license": "1073",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE INS.",
"identifier": "23009",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS' COMPENSATION",
"identifier": "341292394",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.