Organization Active NPI

Dalcanton Chiropractic, LLC

  • Chiropractor
  • Murrysville, PA
National Provider Identifier
1265932206
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC006498L Issued in PA
Legal business name
DALCANTON CHIROPRACTIC, LLC
Practice address
4120 William Penn Hwy
Murrysville, PA 15668-1845
Phone
(724) 327-0148
NPI assigned
Feb 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Dr. Jerrald Dalcanton, DCNPI 1316907256
Title
Owner/Operator
Phone
(724) 327-0148

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 DC006498L PA Primary

Addresses

Primary practice location

4120 William Penn Hwy
Murrysville, PA 15668-1845

Mailing address

4120 William Penn Hwy
Murrysville, PA 15668-1845
Phone (724) 327-0148

Other identifiers 1

IdentifierTypeStateIssuer
839913MedicaidPA

Other names 1

  • Kids First Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180316000437 PA Part B Supplier - Clinic/Group Practice 9032471727 Receives reassigned benefits from 1 practitioner
Practice locations: Murrysville, PA

National Provider Directory

National Provider Directory

Locations

4120 William Penn Hwy
Murrysville, PA 15668
Phone (724) 327-0148

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1265932206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681845",
            "telephone_number": "724-327-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681845",
            "telephone_number": "724-327-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALCANTON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "DALCANTON",
        "authorized_official_first_name": "JERRALD",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "724-327-0148",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC006498L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839913",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids First Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.