Active NPI
Timothy John Weimer, DC
- Chiropractor
- Modesto, CA
National Provider Identifier
1124297882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30849
- Practice address
- 2813 Coffee Rd BLDG F
Modesto, CA 95355-1755 - Phone
- (209) 549-9987
- NPI assigned
- Feb 27, 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 | DC-30849 | CA | Primary |
Addresses
Primary practice location
2813 Coffee Rd BLDG F
Modesto, CA 95355-1755
Mailing address
2813 Coffee Rd BLDG F
Modesto, CA 95355-1755
Phone (209) 549-9987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080702000230 | CA | Practitioner - Chiropractic | 0749352078 | Practice locations: Modesto, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2813 Coffee Rd BLDG F
Modesto, CA 95355-1755
2813 Coffee Rd F
Modesto, CA 95355-1755
Phone (209) 549-9987
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30849 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weimer Chiropractic Professional Corporation | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Modesto, CA
- NPI 1821530734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1124297882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2813 COFFEE RD BLDG F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551755",
"telephone_number": "209-549-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2813 COFFEE RD BLDG F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551755",
"telephone_number": "209-549-9987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIMER",
"first_name": "TIMOTHY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.