Individual provider Active NPI

Sara Jo Weigel, D.C.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1255417226
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
756 Issued in ND
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
25922OtherNDBCBS OF ND PROVIDER#
P00186327OtherNDRAILROAD MEDICARE ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000944 ND Practitioner - Chiropractic 6204888621 Reassigns benefits to 1 organization

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
Active Life Chiropractic PCGroup PAC ID 2365523156, 2 clinicians

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

OrganizationSpecialtyStatusNew patients
Active Life Chiropractic P.C. Chiropractor CurrentSince Dec 24, 2007 Accepting new patients
MCBW Chiropractic PC Chiropractor PastSince Nov 1, 2017 Accepting new patients
MCBW Chiropractic PC Chiropractor PastSince Dec 6, 2004 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.

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.

Verify at the official NPI Registry.