Weide Chiropractic, Inc.

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

Organization subpart

No

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.

Title

Owner

Phone

(414) 768-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Christopher Scott Druml, DC

  • Chiropractor
  • Oak Creek, WI
  • NPI 1962589689
  NPD (past)
• Gregory D Gavric, D.C.

  • Chiropractor
  • Oak Creek, WI
  • NPI 1326115072
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38780400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desiree J Ware, LPC-IT
• Shamiya Washington
• Tracey Michelle Watkins-Gobbeo, LPC-IT
• Joseph Henry Weber, PHARMD
• Bethany Weeden, REGISTERED NURSE
• Jeffrey A Weide, D.C.
• Melissa K Weier, LCSW, CSAC
• Joseph Alexander Weimer, CRNA
• William W Weis, DPM
• Melissa Ann Weise, APNP

• Chiropractor in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Chiropractor in Wisconsin

• 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.