Organization Active NPI

Weide Chiropractic, Inc.

  • Chiropractor
  • Oak Creek, WI
National Provider Identifier
1295867356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1599-012 Issued in WI
Legal business name
WEIDE CHIROPRACTIC, INC.
Practice address
7280 S 13TH St
Suite 201
Oak Creek, WI 53154-1831
Phone
(414) 768-9000
Fax
(414) 768-9004
NPI assigned
Mar 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey Anson Weide, D.C.NPI 1053357293
Title
Owner
Phone
(414) 768-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1599-012 WI Primary

Addresses

Primary practice location

7280 S 13TH St
Suite 201
Oak Creek, WI 53154-1831

Mailing address

7280 S 13TH St
Suite 201
Oak Creek, WI 53154-1831
Phone (414) 768-9000

National Provider Directory

National Provider Directory

Locations

104 E Drexel Ave
Oak Creek, WI 53154
Phone (414) 762-1060

7280 S 13th St
Ste 103
Oak Creek, WI 53154
Phone (262) 334-4340

7280 S 13th St
Ste 201
Oak Creek, WI 53154
Phone (414) 768-4000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295867356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 S 13TH ST",
            "address_2": "SUITE 201",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541831",
            "telephone_number": "414-768-9000",
            "fax_number": "414-768-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 S 13TH ST",
            "address_2": "SUITE 201",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531541831",
            "telephone_number": "414-768-9000",
            "fax_number": "414-768-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEIDE CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIDE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ANSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-768-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1599-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.