Kenneth Stephen Weiner, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

1048 Issued in GA

Practice address

1642 Roswell Rd
Marietta, GA 30062-3621

Phone

(770) 973-8800

Fax

(770) 971-6962

NPI assigned

Mar 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Physical Medicine Center

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1588767750
  NPD Authorized official
• Shilo Enterprises PC

  • Chiropractor
  • Marietta, GA
  • NPI 1215398557
  NPD

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093834616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623621",
            "telephone_number": "770-973-8800",
            "fax_number": "770-971-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623621",
            "telephone_number": "770-973-8800",
            "fax_number": "770-971-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINER",
        "first_name": "KENNETH",
        "middle_name": "STEPHEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "GA",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dilani Weerasuriya, MD
• Arnold Jay Weil, M.D.
• Craig Evan Weil, M.D.
• Andrew Harrison Weinbaum, DPT
• Ellen Binder Weinberger, FNP-C
• Arielle Whitney Weingarten, FNP-C
• Dana Davis Weinstein, PH.D.
• Jill Amy Weinstein, LPC
• Cheyenne Marie Weisheit, PAA
• Cindy Weiss

• Rehabilitation Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Rehabilitation Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.