Individual provider Active NPI

Zach W Weisbrod, D.C.

  • Chiropractor
  • Boone, IA
National Provider Identifier
1013964402
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06863 Issued in IA
Practice address
1320 S Marshall St
Boone, IA 50036-5307
Phone
(515) 432-9525
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06863 IA Primary

Addresses

Primary practice location

1320 S Marshall St
Boone, IA 50036-5307

Mailing address

1320 S Marshall St
Boone, IA 50036-5307
Phone (515) 432-9525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060613000064 IA Practitioner - Chiropractic 6709898752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weisbrod Chiropractic PCGroup PAC ID 0446262497, 4 clinicians

Practice addresses (Care Compare)

1305 Five Mile Dr
Boone, IA 50036-7518
Phone (515) 432-9525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06863IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Weisbrod Chiropractic, P.C. Chiropractor CurrentSince Jun 1, 2006 Accepting new patients
Acupuncture in Vancouver Inc. Past Accepting new patients
Grafton Chiropractic PLLC Chiropractor Past Accepting new patients

Locations

1305 Five Mile Dr
Boone, IA 50036
Phone (515) 432-9525

1320 S Marshall St
Boone, IA 50036
Phone (515) 432-9525

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1013964402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500365307",
            "telephone_number": "515-432-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500365307",
            "telephone_number": "515-432-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROD",
        "first_name": "ZACH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.