Active NPI
Cody Weaver, DC
- Chiropractor
- Cedar Park, TX
National Provider Identifier
1194282392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14286
- Practice address
- 1335 E Whitestone Blvd
# 0-300
Cedar Park, TX 78613-7598 - Phone
- (310) 621-2639
- NPI assigned
- Feb 23, 2019
- Reactivated
- Sep 4, 2024
- Last updated
- Sep 4, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34459 | CA | |
| Chiropractor | 111N00000X | 14286 | TX | Primary |
Addresses
Primary practice location
1335 E Whitestone Blvd
# 0-300
Cedar Park, TX 78613-7598
Mailing address
1335 E Whitestone Blvd
# 0-300
Cedar Park, TX 78613-7598
Phone (310) 621-2639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14286 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Percent Chiropractic Miles, PLLC | Chiropractor | Current | Accepting new patients |
| Palzer Chiropractic Center Inc. | Chiropractor | Past | Accepting new patients |
| Clements Chiropractic Center, Inc | Chiropractor | Past | Accepting new patients |
Locations
1335 E Whitestone Blvd
#300
Cedar Park, TX 78613
Phone (310) 621-2639
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cedar Park, TX
- NPI 1235618448
-
- Chiropractor
- Long Beach, CA
- NPI 1801100151
-
- Chiropractor
- Long Beach, CA
- NPI 1043027279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1194282392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 E WHITESTONE BLVD",
"address_2": "# 0-300",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137598",
"telephone_number": "310-621-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 E WHITESTONE BLVD",
"address_2": "# 0-300",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786137598",
"telephone_number": "310-621-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEAVER",
"first_name": "CODY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-23",
"last_updated": "2024-09-04",
"certification_date": "2022-07-29",
"deactivation_date": "2022-07-29",
"reactivation_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34459",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cedar Park, TX
- Davida P Watkins
- Kenneth Watson, D.C.
- Felicity Jewell Way, NP-C
- Wayne a. Hurst, DPM, PA (Foot Specialists of Cedar Park and Georgetown)
- Kimberly S Weaster, M.ED., LPC, NCC
- Belinda Jere' Webber, LMFT
- Michael Shayne Webber, PH.D. LMFT
- Stacy Marie Weber, CRNA
- Margaret Chang Webster-Beaver, M.S. CCC-SLP
- Katherine Bouchereau Webster
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.