Individual provider Active NPI

Michael Jon Weir, D.C.

  • Chiropractor
  • Bellevue, WA
National Provider Identifier
1316049034
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034462 Issued in WA
Practice address
2320 130TH Ave NE Ste 210
Bellevue, WA 98005-1752
Phone
(425) 635-0495
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034462 WA Primary

Addresses

Primary practice location

2320 130TH Ave NE Ste 210
Bellevue, WA 98005-1752

Mailing address

2320 130TH Ave NE Ste 210
Bellevue, WA 98005-1752
Phone (425) 635-0495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080513000723 WA Practitioner - Chiropractic 0345319620 Reassigns benefits to 1 organization

Care Compare profile

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

Practice addresses (Care Compare)

12727 Northup Way
Suite 20
Bellevue, WA 98005-1917
Phone (425) 635-0495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Early Dawn Enterprises Inc. Chiropractor CurrentSince Feb 25, 2008 Accepting new patients
Akm Enterprises, Inc PastSince May 2, 2005 Accepting new patients
Cascades Chiropractic Center Inc. Chiropractor Past Accepting new patients

Locations

2112 116th Ave NE
Ste A
Bellevue, WA 98004
Phone (425) 635-0495

2320 130th Ave NE
Ste 210
Bellevue, WA 98005
Phone (425) 614-7411

12727 Northup Way
Ste 20
Bellevue, WA 98005
Phone (425) 635-0495

Organizations & group practices 3

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1316049034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 130TH AVE NE STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051752",
            "telephone_number": "425-635-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 130TH AVE NE STE 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051752",
            "telephone_number": "425-635-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIR",
        "first_name": "MICHAEL",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.