Organization Active NPI

Daniel Weisbecker DC LLC

  • Chiropractor
  • Waipahu, HI
National Provider Identifier
1255823142
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
799 Issued in HI
Legal business name
DANIEL WEISBECKER DC LLC
Practice address
94-1030 Waipio Uka St Ste 104
Waipahu, HI 96797-4084
Phone
(808) 671-7887
Fax
(808) 671-7887
NPI assigned
Jun 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Daniel Weisbecker, DCNPI 1154412427
Title
Chiropractor
Phone
(808) 671-7887

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 799 HI Primary

Addresses

Primary practice location

94-1030 Waipio Uka St Ste 104
Waipahu, HI 96797-4084

Mailing address

94-1030 Waipio Uka St Ste 104
Waipahu, HI 96797-4084
Phone (808) 671-7887

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180628001889 HI Part B Supplier - Clinic/Group Practice 3577819879 Receives reassigned benefits from 1 practitioner
Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory

Locations

94-1030 Waipio Uka St
Ste 104
Waipahu, HI 96797
Phone (808) 277-0491

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1255823142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1030 WAIPIO UKA ST STE 104",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974084",
            "telephone_number": "808-671-7887",
            "fax_number": "808-671-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1030 WAIPIO UKA ST STE 104",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974084",
            "telephone_number": "808-671-7887",
            "fax_number": "808-671-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WEISBECKER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "WEISBECKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "808-671-7887",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.