Individual provider Active NPI

David Peter Warchal Jr.

  • Student in an Organized Health Care Education/Training Program
  • Depew, NY
National Provider Identifier
1699007005
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
286 Zurbrick Rd
Depew, NY 14043-4317
Phone
(315) 725-6698
NPI assigned
Feb 10, 2010
Last updated
Feb 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

286 Zurbrick Rd
Depew, NY 14043-4317

Mailing address

286 Zurbrick Rd
Depew, NY 14043-4317
Phone (315) 725-6698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121029000618 NY Practitioner - Chiropractic 7214108430 Reassigns benefits to 1 organization
Practice locations: Cicero, NY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6221 State Route 31
Suite 110B
Cicero, NY 13039-8724
Phone (315) 288-4483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4200NCMDClinical Psychologist
011987NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Warchal Chiropractic & Sports Rehab PLLC CurrentSince May 9, 2020 Accepting new patients
Goldsboro Spine Center, PA Past Accepting new patients
Myrtle Beach Spine Center, PA PastSince Aug 15, 2012 Accepting new patients

Locations

6221 State Route 31
Ste 110B
Cicero, NY 13039
Phone (315) 288-4483

Organizations & group practices 3

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": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1699007005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 ZURBRICK RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434317",
            "telephone_number": "315-725-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 ZURBRICK RD",
            "city": "DEPEW",
            "state": "NY",
            "postal_code": "140434317",
            "telephone_number": "315-725-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARCHAL",
        "first_name": "DAVID",
        "middle_name": "PETER",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Depew, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.