Individual provider Active NPI

Nathaniel Scott Weiss

  • Chiropractor
  • Luzerne, MI
National Provider Identifier
1306359708
Registry record updated Nov 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010573 Issued in MI
Practice address
2172 Deeter Rd
Luzerne, MI 48636-9775
Phone
(989) 889-1477
NPI assigned
Nov 8, 2017
Last updated
Nov 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010573 MI Primary

Addresses

Primary practice location

2172 Deeter Rd
Luzerne, MI 48636-9775

Mailing address

2172 Deeter Rd
Luzerne, MI 48636-9775
Phone (989) 889-1477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180709002241 MI Practitioner - Chiropractic 6002162849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitality Healthcare PCGroup PAC ID 7911206131, 3 clinicians

Practice addresses (Care Compare)

5717 Oakland Dr
Suite a
Portage, MI 49024-1116
Phone (269) 323-4473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Hohman Enterprises Chiropractor CurrentSince Mar 5, 2023 Accepting new patients
Vitality Healthcare PC CurrentSince Aug 3, 2021 Accepting new patients
Specialized Family Chiropractic PC Chiropractor CurrentSince Aug 3, 2021 Accepting new patients
Big Creek Chiropractic & Nutrition PLLC Chiropractor PastSince Aug 1, 2013 Accepting new patients

Locations

5717 Oakland Dr
Ste A
Portage, MI 49024
Phone (269) 323-4473

5717 Oakland Dr
Unit A
Portage, MI 49024

1107 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-6712

Organizations & group practices 4

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": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1306359708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2172 DEETER RD",
            "city": "LUZERNE",
            "state": "MI",
            "postal_code": "486369775",
            "telephone_number": "989-889-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2172 DEETER RD",
            "city": "LUZERNE",
            "state": "MI",
            "postal_code": "486369775",
            "telephone_number": "989-889-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "NATHANIEL",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luzerne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.