Active NPI
Warren Wesley Weisbrod, D.C.
- Chiropractor
- Chandler, AZ
National Provider Identifier
1316903958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC4299
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0246560 | Other | AZ | BCBSAZ |
Other names 1
- Mrs. Mindy Jewell Weisbrod
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC4299 | AZ | MD | Radiology Chiropractor |
| 4299 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weisbrod Chiropractic, Inc. | Chiropractor | Current | 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.