Individual provider Active NPI

James D Webley Jr., D.C.

  • Chiropractor
  • Burlington, WI
National Provider Identifier
1154435345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3283-012 Issued in WI
Practice address
733 N Pine St
Suite B
Burlington, WI 53105-1247
Phone
(262) 763-7583
Fax
(262) 763-8184
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3283-012 WI Primary

Addresses

Primary practice location

733 N Pine St
Suite B
Burlington, WI 53105-1247

Mailing address

733 N Pine St
Suite B
Burlington, WI 53105-1247
Phone (262) 763-7583

Other identifiers 1

IdentifierTypeStateIssuer
38897100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000129 WI Practitioner - Chiropractic 3173524600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1050 Milwaukee Ave
Suite 101
Burlington, WI 53105-1362
Phone (262) 763-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3283-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Webley Chiropractic Clinic, S.C. Chiropractor CurrentSince Feb 1, 2007 Accepting new patients

Locations

1050 Milwaukee Ave
Ste 101
Burlington, WI 53105
Phone (262) 763-6000

733 N Pine St
Ste B
Burlington, WI 53105
Phone (262) 763-7583

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154435345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N PINE ST",
            "address_2": "SUITE B",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051247",
            "telephone_number": "262-763-7583",
            "fax_number": "262-763-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 N PINE ST",
            "address_2": "SUITE B",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051247",
            "telephone_number": "262-763-7583",
            "fax_number": "262-763-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBLEY",
        "first_name": "JAMES",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3283-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38897100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WI

Sources for this page

  • 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.
  • 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.