Individual provider Active NPI

Devon Weese

  • Chiropractor
  • Saint Louis, MO
National Provider Identifier
1215778337
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024016384 Issued in MO
Practice address
7225 Watson Rd
Saint Louis, MO 63119-4401
Phone
(314) 553-9785
NPI assigned
Jun 3, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2024016384 MO Primary

Addresses

Primary practice location

7225 Watson Rd
Saint Louis, MO 63119-4401

Mailing address

418 Scottfield Ter
Ballwin, MO 63011-4324
Phone (636) 931-8121

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240614000190 MO Practitioner - Chiropractic 3072056449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donahue Chiropractic LLCGroup PAC ID 3678854270, 2 clinicians

Practice addresses (Care Compare)

7225 Watson Rd
Saint Louis, MO 63119-4401
Phone (314) 553-9785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Donahue Chiropractic LLC Chiropractor CurrentSince Jun 10, 2024 Accepting new patients

Locations

7225 Watson Rd
Saint Louis, MO 63119
Phone (314) 553-9785

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1215778337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 SCOTTFIELD TER",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114324",
            "telephone_number": "636-931-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631194401",
            "telephone_number": "314-553-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEESE",
        "first_name": "DEVON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024016384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.