Michael Jacob Weiss, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010627 Issued in MI

Practice address

404 Rounds Dr
Fenton, MI 48430-1724

Phone

(810) 208-0424

Fax

(866) 227-3775

NPI assigned

Jul 16, 2018

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

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Enhanced Chiropractic PLLC

  • Chiropractor
  • Flint, MI
  • NPI 1841874351
  Medicare reassignment NPD Authorized official
• Painless Chiropractic, PLLC

  • Chiropractor
  • Fenton, MI
  • NPI 1184046039
  Medicare reassignment NPD
• Edward L Martin PC

  • Chiropractor
  • Bridgeport, MI
  • NPI 1477693398
  Medicare reassignment

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1124504840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12087 CHURCH ST",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484158758",
            "telephone_number": "989-860-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 ROUNDS DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301724",
            "telephone_number": "810-208-0424",
            "fax_number": "866-227-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "MICHAEL",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Nicole Wanic, DNP, A-GNP
• Chavonna Michele Webb, PHARMD
• Alexis Marie Weber
• Anthony Joseph Weiss
• Matthew Jay Weiss, DO
• Nicholas Weiss, LMSW
• Wellbridge of Fenton, LLC
• Levaughn Westbrook, LMSW
• Allison Elizabeth Westhoff, DPT
• Douglas W White, DDS

• Chiropractor in Fenton, MI
• Providers in Fenton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.