Mindy A Weingarten, D. C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHOOO4680 Issued in FL

Practice address

4606 S Clyde Morris Blvd
Ste 1M
Port Orange, FL 32129-7453

Phone

(386) 756-9303

Fax

(386) 756-8119

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1983

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1164426581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 S CLYDE MORRIS BLVD",
            "address_2": "STE 1M",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321297453",
            "telephone_number": "386-756-9303",
            "fax_number": "386-756-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 S CLYDE MORRIS BLVD",
            "address_2": "STE 1M",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321297453",
            "telephone_number": "386-756-9303",
            "fax_number": "386-756-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINGARTEN",
        "first_name": "MINDY",
        "middle_name": "A",
        "credential": "D. C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CHOOO4680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380727400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS    PROVIDER NUMBER",
            "identifier": "22122",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00118022",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W Weaver, M.D.
• Aaron Webb, D.C.
• Keith Weible
• Rebecca Weidler, LPC, LCMHC
• Heather Weindel
• Peter Weisbruch, DDS
• Conner Weiss, DC
• Jason L Welch, NP
• Nitra Hobbs Welch, ARNP
• George Alfred Wennerberg Jr., M.D.

• Chiropractor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.