Individual provider Active NPI

Cody Weaver, DC

  • Chiropractor
  • Cedar Park, TX
National Provider Identifier
1194282392
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14286 Issued in TX
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14286TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Percent Chiropractic Miles, PLLC Chiropractor CurrentSince Dec 1, 2019 Accepting new patients
Palzer Chiropractic Center Inc. Chiropractor PastSince Dec 15, 2024 Accepting new patients
Clements Chiropractic Center, Inc Chiropractor PastSince Apr 24, 2013 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.

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

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.

Verify at the official NPI Registry.