Active NPI
Robert Sidney Weatherwax, D.C
- Chiropractor
- Longwood, FL
National Provider Identifier
1043480825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0006280
- Practice address
- 159 Sabal Palm Drive
Longwood, FL 32779-2558 - Phone
- (407) 786-7246
- Fax
- (407) 786-8861
- NPI assigned
- Mar 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006280 | FL | Primary |
Addresses
Primary practice location
159 Sabal Palm Drive
Longwood, FL 32779-2558
Mailing address
159 Sabal Palm Drive
Longwood, FL 32779-2558
Phone (407) 786-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0006280 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1043480825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 SABAL PALM DRIVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792558",
"telephone_number": "407-786-7246",
"fax_number": "407-786-8861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 SABAL PALM DRIVE",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327792558",
"telephone_number": "407-786-7246",
"fax_number": "407-786-8861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERWAX",
"first_name": "ROBERT",
"middle_name": "SIDNEY",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-07",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0006280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.