Individual provider Active NPI

Zachary Shasteen, DC

  • Chiropractor
  • Cranberry TWP, PA
National Provider Identifier
1215643317
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC011810 Issued in PA
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
Last updated
Feb 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC011810 PA 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) 683-2540

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406000474 PA Practitioner - Chiropractic 9537534417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20421 Route 19
Suite 115
Cranberry TWP, PA 16066-7514
Phone (724) 683-2540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC011810PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Resilient Chiropractic PLLC Chiropractor CurrentSince Feb 3, 2023 Accepting new patients
Stephen J. Pennell, D.C. PC Chiropractor PastSince Jan 1, 2023 Accepting new patients

Locations

20421 Route 19
Ste 115
Cranberry Twp, PA 16066
Phone (724) 683-2540

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1215643317",
    "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": "724-683-2540"
        },
        {
            "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": {
        "last_name": "SHASTEEN",
        "first_name": "ZACHARY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-24",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC011810",
            "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.
  • 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.