Individual provider Active NPI

Alan John Weber, D.C.

  • Chiropractor
  • Prairie Du Chien, WI
National Provider Identifier
1215991971
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3386 Issued in WI
Practice address
601 E Blackhawk Ave
Prairie Du Chien, WI 53821-1651
Phone
(608) 326-2511
Fax
(608) 326-2167
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3386 WI Primary

Addresses

Primary practice location

601 E Blackhawk Ave
Prairie Du Chien, WI 53821-1651

Mailing address

601 E Blackhawk Ave
Prairie Du Chien, WI 53821-1651
Phone (608) 326-2511

Other identifiers 2

IdentifierTypeStateIssuer
350038301OtherRAILROAD MEDICARE
391865273012OtherBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316001051 WI Practitioner - Chiropractic 1254513914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

601 E Blackhawk Ave
Prairie Du Chien, WI 53821-1651
Phone (608) 326-2511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3386WIMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weber Chiropractic Clinic SC Chiropractor CurrentSince Sep 25, 1996 Accepting new patients
Crawford Chiropractic, LLC PastSince Mar 16, 2011 Accepting new patients

Locations

601 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-2511

Organizations & group practices 2

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": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1215991971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E BLACKHAWK AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211651",
            "telephone_number": "608-326-2511",
            "fax_number": "608-326-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E BLACKHAWK AVE",
            "city": "PRAIRIE DU CHIEN",
            "state": "WI",
            "postal_code": "538211651",
            "telephone_number": "608-326-2511",
            "fax_number": "608-326-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "ALAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350038301",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "391865273012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Chien, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.