Individual provider Active NPI

Craig Robert Wehrenberg, D.C.

  • Chiropractor
  • Clifton Park, NY
National Provider Identifier
1356474282
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006719 Issued in NY
Practice address
1 Fairchild SQ
Suite 6
Clifton Park, NY 12065-1261
Phone
(518) 877-7112
Fax
(518) 877-7114
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006719 NY Primary

Addresses

Primary practice location

1 Fairchild SQ
Suite 6
Clifton Park, NY 12065-1261

Mailing address

1 Fairchild SQ
Suite 6
Clifton Park, NY 12065-1261
Phone (518) 877-7112

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Specific Chiropractic, P.C. Chiropractor PastSince Jan 2, 2008 Accepting new patients

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1356474282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FAIRCHILD SQ",
            "address_2": "SUITE 6",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651261",
            "telephone_number": "518-877-7112",
            "fax_number": "518-877-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FAIRCHILD SQ",
            "address_2": "SUITE 6",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651261",
            "telephone_number": "518-877-7112",
            "fax_number": "518-877-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHRENBERG",
        "first_name": "CRAIG",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.