Individual provider Active NPI

Weston Wilborn, DC

  • Rehabilitation Chiropractor
  • Spring, TX
National Provider Identifier
1114516309
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
14626 Issued in TX
Practice address
28533 Spring Trails RDG Ste 110
Spring, TX 77386-5030
Phone
(800) 404-6050
Fax
(866) 313-3397
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 14626 TX Primary

Addresses

Primary practice location

28533 Spring Trails RDG Ste 110
Spring, TX 77386-5030

Mailing address

PO Box 700688
San Antonio, TX 78270-0688
Phone (210) 318-3007

Other identifiers 1

IdentifierTypeStateIssuer
14626OtherTXCHIROPRACTIC LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address records@airrosti-rehab-ctrs.direct.kno2fy.com AIRROSTI Rehab Centers, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

539 W Commerce St
Dallas, TX 75208-1953

PO Box
Suite 700688
San Antolio, TX 78270-0688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14626TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1114516309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700688",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782700688",
            "telephone_number": "210-318-3007",
            "fax_number": "210-468-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28533 SPRING TRAILS RDG STE 110",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773865030",
            "telephone_number": "800-404-6050",
            "fax_number": "866-313-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBORN",
        "first_name": "WESTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "14626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "14626",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "records@airrosti-rehab-ctrs.direct.kno2fy.com",
            "affiliation": "Y",
            "affiliationName": "AIRROSTI Rehab Centers, LLC",
            "address_1": "111 Tower Dr Bldg 1",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782323625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.