Individual provider Active NPI

Kirk Weldon Weber, DC

  • Orthopedic Chiropractor
  • Fenelton, PA
National Provider Identifier
1306972237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC002454-L Issued in PA
Practice address
1808 Route 422 East
Fenelton, PA 16034
Phone
(724) 285-9093
Fax
(775) 306-2216
NPI assigned
Feb 26, 2007
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
Orthopedic Chiropractor 111NX0800X DC002454-L PA Primary

Addresses

Primary practice location

1808 Route 422 East
Fenelton, PA 16034

Mailing address

1808 Route 422 East
Fenelton, PA 16034
Phone (724) 285-9093

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130520000113 PA Practitioner - Chiropractic 8123265774 Practice locations: Fenelton, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC002454-LPAMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kirk W Weber PC Current Accepting new patients

Locations

1808 Route 422 E
Fenelton, PA 16034
Phone (724) 285-9093

Organizations & group practices 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306972237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROUTE 422 EAST",
            "city": "FENELTON",
            "state": "PA",
            "postal_code": "16034",
            "telephone_number": "724-285-9093",
            "fax_number": "775-306-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 ROUTE 422 EAST",
            "city": "FENELTON",
            "state": "PA",
            "postal_code": "16034",
            "telephone_number": "724-285-9093",
            "fax_number": "775-306-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KIRK",
        "middle_name": "WELDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "PA",
            "license": "DC002454-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenelton, PA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.