Individual provider Active NPI

Michael John Weiss, DC

  • Chiropractor
  • Spring Lake, MI
National Provider Identifier
1033272091
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MW008933 Issued in MI
Practice address
124 W Savidge St
Spring Lake, MI 49456-3101
Phone
(616) 846-2330
Fax
(616) 846-3283
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MW008933 MI Primary

Addresses

Primary practice location

124 W Savidge St
Spring Lake, MI 49456-3101

Mailing address

124 W Savidge St
Spring Lake, MI 49456-3101
Phone (616) 846-2330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613000572 MI Practitioner - Chiropractic 3577507425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Weiss Chiropractic, PLLCGroup PAC ID 5991875007, 4 clinicians

Practice addresses (Care Compare)

124 W Savidge St
Spring Lake, MI 49456-3101
Phone (616) 846-2330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MW008933MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Weiss Chiropractic, PLLC Chiropractor CurrentSince May 19, 2008 Accepting new patients
Westra Chiropractic Center PLLC Chiropractor PastSince May 19, 2008 Accepting new patients
Semlow Chiropractic PLLC Chiropractor PastSince Sep 1, 2004 Accepting new patients

Locations

124 W Savidge St
Spring Lake, MI 49456
Phone (616) 846-2330

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1033272091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W SAVIDGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494563101",
            "telephone_number": "616-846-2330",
            "fax_number": "616-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W SAVIDGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494563101",
            "telephone_number": "616-846-2330",
            "fax_number": "616-846-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "MW008933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.