Individual provider Active NPI

Cameron J Weishaar, DC

  • Chiropractor
  • Spokane, WA
National Provider Identifier
1306919451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHOOO34401 Issued in WA
Practice address
20 W Central Ave
Spokane, WA 99205-6221
Phone
(509) 484-7578
Fax
(509) 484-9441
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHOOO34401 WA Primary

Addresses

Primary practice location

20 W Central Ave
Spokane, WA 99205-6221

Mailing address

20 W Central Ave
Spokane, WA 99205-6221
Phone (509) 484-7578

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019001239 WA Practitioner - Chiropractic 9638130115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 W Francis Ave
Suite 202
Spokane, WA 99205-6858
Phone (509) 443-3535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHOOO34401WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back in Motion, P.S. Chiropractor CurrentSince Oct 13, 2008 Accepting new patients
Central Chiropractic PC Chiropractor PastSince Jun 1, 2005 Accepting new patients

Locations

20 W Central Ave
Spokane, WA 99205
Phone (509) 484-7578

1717 W Francis Ave
Ste 202
Spokane, WA 99205
Phone (509) 443-3535

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306919451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W CENTRAL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056221",
            "telephone_number": "509-484-7578",
            "fax_number": "509-484-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W CENTRAL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992056221",
            "telephone_number": "509-484-7578",
            "fax_number": "509-484-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISHAAR",
        "first_name": "CAMERON",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CHOOO34401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.