Individual provider Active NPI

Warren Wesley Weisbrod, D.C.

  • Chiropractor
  • Chandler, AZ
National Provider Identifier
1316903958
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC4299 Issued in AZ
Practice address
401 N Alma School Rd
Suite 1
Chandler, AZ 85224-4368
Phone
(480) 821-0101
Fax
(480) 821-5147
NPI assigned
Apr 22, 2006
Last updated
May 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC4299 AZ Primary
Radiology Chiropractor 111NR0200X DC4299 AZ
Sports Physician Chiropractor 111NS0005X DC4299 AZ

Addresses

Primary practice location

401 N Alma School Rd
Suite 1
Chandler, AZ 85224-4368

Mailing address

401 N Alma School Rd
Suite 1
Chandler, AZ 85224-4368
Phone (480) 821-0101

Other identifiers 1

IdentifierTypeStateIssuer
0246560OtherAZBCBSAZ

Other names 1

  • Mrs. Mindy Jewell Weisbrod Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC4299AZMDRadiology Chiropractor
4299AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Weisbrod Chiropractic, Inc. Chiropractor CurrentSince Feb 1, 1999 Accepting new patients

Locations

401 N Alma School Rd
Ste 1
Chandler, AZ 85224
Phone (480) 821-0101

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, 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": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1316903958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N ALMA SCHOOL RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244368",
            "telephone_number": "480-821-0101",
            "fax_number": "480-821-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N ALMA SCHOOL RD",
            "address_2": "SUITE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244368",
            "telephone_number": "480-821-0101",
            "fax_number": "480-821-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISBROD",
        "first_name": "WARREN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "DC4299",
            "primary": true
        },
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "AZ",
            "license": "DC4299",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "AZ",
            "license": "DC4299",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAZ",
            "identifier": "0246560",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDY",
            "last_name": "WEISBROD",
            "middle_name": "JEWELL",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.