Individual provider Active NPI

David Alan Weilert, DC

  • Chiropractor
  • Humboldt, KS
National Provider Identifier
1003829755
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-03229 Issued in KS
Practice address
606 Bridge St
Humboldt, KS 66748-1733
Phone
(620) 473-3212
NPI assigned
Aug 14, 2006
Last updated
Sep 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-03229 KS Primary

Addresses

Primary practice location

606 Bridge St
Humboldt, KS 66748-1733

Mailing address

606 Bridge St
Humboldt, KS 66748-1733
Phone (620) 473-3212

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000673 KS Practitioner - Chiropractic 5092762542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1971
Medicare assignment
May accept Medicare assignment
Group practices
Weilert Chiropractic Clinic LLCGroup PAC ID 8022018084, 3 clinicians

Practice addresses (Care Compare)

606 Bridge St
Humboldt, KS 66748-1733
Phone (620) 473-3212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-03229KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Weilert Chiropractic Clinic LLC Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

606 Bridge St
Humboldt, KS 66748
Phone (316) 473-3212

Organizations & group practices 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1003829755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 BRIDGE ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481733",
            "telephone_number": "620-473-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 BRIDGE ST",
            "city": "HUMBOLDT",
            "state": "KS",
            "postal_code": "667481733",
            "telephone_number": "620-473-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEILERT",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-03229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.