Individual provider Active NPI

Marc K Weinberg, D.C.

  • Chiropractor
  • North Miami Beach, FL
National Provider Identifier
1114012333
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 6619 Issued in FL
Practice address
16100 NE 16TH Ave Ste B
North Miami Beach, FL 33162-4708
Phone
(305) 949-5999
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 6619 FL Primary

Addresses

Primary practice location

16100 NE 16TH Ave Ste B
North Miami Beach, FL 33162-4708

Mailing address

16100 NE 16TH Ave Ste B
North Miami Beach, FL 33162-4708
Phone (305) 949-5999

Other identifiers 1

IdentifierTypeStateIssuer
380397000MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000431 FL Practitioner - Chiropractic 9032101092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16100 NE 16TH Ave
Suite B
North Miami Beach, FL 33162-4708
Phone (305) 949-5999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 6619FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Marc K Weinberg DC PA Chiropractor CurrentSince Jan 8, 2011 Accepting new patients
Duramed Supply LLC CurrentSince May 10, 2020 Accepting new patients

Locations

16100 NE 16th Ave
#B
North Miami Beach, FL 33162
Phone (305) 340-1524

1352 NE 163rd St
North Miami Beach, FL 33162
Phone (305) 949-5499

Organizations & group practices 2

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1114012333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 NE 16TH AVE STE B",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624708",
            "telephone_number": "305-949-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 NE 16TH AVE STE B",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624708",
            "telephone_number": "305-949-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERG",
        "first_name": "MARC",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 6619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380397000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.