NPIMap

Organization Active NPI

Weiss Chiropractic, PLLC

  • Chiropractor
  • Spring Lake, MI
National Provider Identifier
1205003175
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008933 Issued in MI
Legal business name
WEISS CHIROPRACTIC, PLLC
Practice address
124 W Savidge St
Spring Lake, MI 49456-3101
Phone
(616) 846-2330
Fax
(616) 846-3283
NPI assigned
May 10, 2008
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Michael John Weiss, D.C.NPI 1033272091
Title
Member
Phone
(616) 846-2330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008933 MI Primary

Addresses

Primary practice location

124 W Savidge St
Spring Lake, MI 49456-3101

Mailing address

124 W Savidge St
Spring Lake, MI 49456-3101
Phone (616) 846-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080602000376 MI Part B Supplier - Clinic/Group Practice 5991875007 Receives reassigned benefits from 4 practitioners
Practice locations: Spring Lake, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1205003175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W SAVIDGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494563101",
            "telephone_number": "616-846-2330",
            "fax_number": "616-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W SAVIDGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494563101",
            "telephone_number": "616-846-2330",
            "fax_number": "616-846-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-10",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "616-846-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.