Organization Active NPI

Troy W. Zacherl D.C., P.C.

  • Chiropractor
  • Erie, PA
National Provider Identifier
1538337472
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007449L Issued in PA
Legal business name
TROY W. ZACHERL D.C., P.C.
Practice address
4720 Wattsburg Road
Erie, PA 16504-2742
Phone
(814) 825-1102
Fax
(814) 825-3292
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dr. Troy W. Zacherl, D.C.NPI 1649270752
Title
President
Phone
(814) 825-1102

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC007449L PA Primary
Sports Physician ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NS0005X DC007449L PA

Addresses

Primary practice location

4720 Wattsburg Road
Erie, PA 16504-2742

Mailing address

4720 Wattsburg Road
Erie, PA 16504-2742
Phone (814) 825-1102

Other identifiers 1

IdentifierTypeStateIssuer
750773OtherPAHIGHMARK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111115000506 PA Part B Supplier - Clinic/Group Practice 0749454460 Receives reassigned benefits from 1 practitioner
Practice locations: Erie, PA

National Provider Directory

National Provider Directory

Locations

1277 E Grandview Blvd
Erie, PA 16504
Phone (814) 825-1102

4720 Wattsburg Rd
Erie, PA 16504
Phone (814) 825-1102

Practitioners & affiliated clinicians

Practitioners 1

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1538337472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 WATTSBURG ROAD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042742",
            "telephone_number": "814-825-1102",
            "fax_number": "814-825-3292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 WATTSBURG ROAD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042742",
            "telephone_number": "814-825-1102",
            "fax_number": "814-825-3292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY W. ZACHERL D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2023-02-16",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "ZACHERL",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-825-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007449L",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC007449L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "750773",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.