Active NPI
Sara Jo Weigel, D.C.
- Chiropractor
- Bismarck, ND
National Provider Identifier
1255417226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 756
- Practice address
- 535 S 7TH St
Bismarck, ND 58504-5859 - Phone
- (701) 255-4241
- Fax
- (701) 255-4299
- NPI assigned
- Oct 31, 2006
- Last updated
- Dec 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 756 | ND | Primary |
Addresses
Primary practice location
535 S 7TH St
Bismarck, ND 58504-5859
Mailing address
2812 Plainview Drive SE
Mandan, ND 58554
Phone (701) 255-4241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25922 | Other | ND | BCBS OF ND PROVIDER# |
| P00186327 | Other | ND | RAILROAD MEDICARE ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 W Main Ave
Bismarck, ND 58501-3741
Phone (701) 255-4241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Life Chiropractic P.C. | Chiropractor | Current | Accepting new patients |
| MCBW Chiropractic PC | Chiropractor | Past | Accepting new patients |
| MCBW Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
215 W Main Ave
Bismarck, ND 58501
Phone (701) 255-4241
535 S 7th St
Bismarck, ND 58504
Phone (701) 255-4241
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.
-
- Chiropractor
- Bismarck, ND
- NPI 1609059377
-
- Chiropractor
- Mandan, ND
- NPI 1730266636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1255417226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 PLAINVIEW DRIVE SE",
"city": "MANDAN",
"state": "ND",
"postal_code": "58554",
"telephone_number": "701-255-4241",
"fax_number": "701-255-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 S 7TH ST",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585045859",
"telephone_number": "701-255-4241",
"fax_number": "701-255-4299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIGEL",
"first_name": "SARA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ND PROVIDER#",
"identifier": "25922",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID #",
"identifier": "P00186327",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.