Active NPI
Zachary William Wolverton, D.C.
- Chiropractor
- Phila, PA
National Provider Identifier
1104697762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC011892
- Practice address
- 7172 Ogontz Avenue
Phila, PA 19138-1942 - Phone
- (267) 672-1260
- Fax
- (215) 613-7676
- NPI assigned
- Jan 12, 2024
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC011892 | PA | Primary |
Addresses
Primary practice location
7172 Ogontz Avenue
Phila, PA 19138-1942
Mailing address
P.O. Box 8918
Elkins Park, PA 19027-8918
Phone (215) 782-3891
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC011892 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1104697762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8918",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190278918",
"telephone_number": "215-782-3891",
"fax_number": "215-224-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7172 OGONTZ AVENUE",
"city": "PHILA",
"state": "PA",
"postal_code": "191381942",
"telephone_number": "267-672-1260",
"fax_number": "215-613-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLVERTON",
"first_name": "ZACHARY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phila, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.