Cody Weaver, DC
Individual provider Active NPI Chiropractor · Cedar Park, TX
NPI 1194282392 · NPPES record last updated Sep 4, 2024
Key facts
- NPI
- 1194282392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 14286 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14286 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 34459 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 100 Percent Chiropractic Miles, PLLC | Chiropractor | Current |
Accepting new patients |
| Clements Chiropractic Center, Inc | Chiropractor | Past |
Accepting new patients |
| Palzer Chiropractic Center Inc. | Chiropractor | Past |
Accepting new patients |
Locations
1335 E Whitestone Blvd
#300
Cedar Park, TX 78613
Phone (310) 621-2639
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 34459 | CA | |
| Chiropractor | 111N00000X | 14286 | TX | Yes |
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
Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.