Weider Chiropractic Clinic,P.S.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003210 Issued in WA

Legal business name

WEIDER CHIROPRACTIC CLINIC,P.S.

Practice address

603 E 8TH St
#D
Port Angeles, WA 98362-6251

Phone

(360) 452-2934

NPI assigned

Nov 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Thomas Weider Jr., D.C.

Title

President

Phone

(360) 452-2934

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Jonathan Moon, LMP

  • Massage Therapist
  • Port Angeles, WA
  • NPI 1356625883
  NPD (past)
• Jody Ann Schweyen, D.C.

  • Chiropractor
  • Port Angeles, WA
  • NPI 1306913967
  NPD (past)
• Ryan Nicholas Stratford, LMP

  • Massage Therapist
  • Port Angeles, WA
  • NPI 1578886982
  NPD (past)
• Pamela Marie Weider, LMP

  • Massage Therapist
  • Port Angeles, WA
  • NPI 1437428927
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1063693497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E 8TH ST",
            "address_2": "#D",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626251",
            "telephone_number": "360-452-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E 8TH ST",
            "address_2": "#D",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626251",
            "telephone_number": "360-452-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIDER CHIROPRACTIC CLINIC,P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "WEIDER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-452-2934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matilda Webb
• Daniel Webber
• Linda Gale Weed
• John D Wegmann, M.D.
• Mary Frances Wegmann, PH.D
• Pamela Marie Weider, LMP
• Welch Vanbibber Haught DDS PC (Harbor Kids Dental)
• Alicia Welch
• Robert Anthony Welch, PH.D.
• Well Foot Clinic

• Chiropractor in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.