Organization Active NPI

Resilient Chiropractic PLLC

  • Chiropractor
  • Cranberry TWP, PA
National Provider Identifier
1104532209
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RESILIENT CHIROPRACTIC PLLC
Practice address
20421 Route 19 Ste 115
Cranberry TWP, PA 16066-7514
Phone
(724) 776-4500
Fax
(724) 638-2122
NPI assigned
Jan 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Zachary Shasteen, DCNPI 1215643317
Title
Owner
Phone
(724) 776-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

20421 Route 19 Ste 115
Cranberry TWP, PA 16066-7514

Mailing address

20421 Route 19 Ste 115
Cranberry TWP, PA 16066-7514
Phone (724) 776-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230406000441 PA Part B Supplier - Clinic/Group Practice 8628443504 Receives reassigned benefits from 1 practitioner
Practice locations: Cranberry TWP, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1104532209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20421 ROUTE 19 STE 115",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160667514",
            "telephone_number": "724-776-4500",
            "fax_number": "724-638-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20421 ROUTE 19 STE 115",
            "city": "CRANBERRY TWP",
            "state": "PA",
            "postal_code": "160667514",
            "telephone_number": "724-776-4500",
            "fax_number": "724-638-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "SHASTEEN",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-776-4500",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry TWP, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.