Kimberly Weber, DC, MS

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1053 Issued in ND

Practice address

207 1St Ave S
New Rockford, ND 58356-1800

Phone

(701) 947-2121

NPI assigned

Apr 5, 2017

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Goehner Chiropractic, PLLC

  dba Qual Chiropractic

  • Chiropractor
  • Jamestown, ND
  • NPI 1538760699
  Medicare reassignment NPD
• Nicolai Chiropractic Center, P.C.

  • Chiropractor
  • New Rockford, ND
  • NPI 1760606388
  Medicare reassignment NPD

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1295268472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 1ST AVE S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561800",
            "telephone_number": "701-947-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 1ST AVE S",
            "city": "NEW ROCKFORD",
            "state": "ND",
            "postal_code": "583561800",
            "telephone_number": "701-947-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DC, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458174",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473128",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dusti L Nystrom
• Peak Performance Physical Therapy and Sports Medicine, PLLC
• Michelle Pfeiffer, LMT
• Zachary Tomas Smith, D.C.
• Georgianna Walker, MS, LRD
• Bonnie Williams, LSW
• Liza A Ystaas, FNP-C
• Melissa Ystaas, PT

• Chiropractor in New Rockford, ND
• Providers in New Rockford, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.