Monique Weddle, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR009409 Issued in GA

Practice address

4911 Bridger Rd
Shallotte, NC 28470-4474

Phone

(910) 755-5483

NPI assigned

Dec 11, 2014

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

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ridge Health and Spine, PLLCGroup PAC ID 8921387531, 2 clinicians

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.

• Blue Ridge Health and Spine, PLLC

  dba Family First Health Center

  • Chiropractor
  • Shallotte, NC
  • NPI 1497204101
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1184022899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1945",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284591945",
            "telephone_number": "910-755-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 BRIDGER RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284704474",
            "telephone_number": "910-755-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDDLE",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Cristine Warren, DMD
• Susan Diane Warren, MSW, LCSW
• Waterside Healthcare Inc. (Shallotte Assisted Living)
• Melissa Buckner Wayne, NP-C
• Debra C Webb, OD
• Brooke Malanga Weissman, MPT
• Gwen Weller, FNP-C
• Taylo Arlyn Weschler, COTA/L
• Sameria Danielle Wesley, MSW LCSWA
• David Chadwick Weston, M.D.

• Chiropractor in Shallotte, NC
• Providers in Shallotte, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.