Individual provider Active NPI

John Spencer Weyand, D.C.

  • Orthopedic Chiropractor
  • Hornell, NY
National Provider Identifier
1376532523
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
X006902-1 Issued in NY
Practice address
20 Park Dr
Hornell, NY 14843-2213
Phone
(607) 324-7246
Fax
(607) 324-7249
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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 X006902-1 NY Primary

Addresses

Primary practice location

20 Park Dr
Hornell, NY 14843-2213

Mailing address

20 Park Dr
Hornell, NY 14843-2213
Phone (607) 324-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000388 NY Practitioner - Chiropractic 0244144244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John S Weyand DC PCGroup PAC ID 0143249102, 4 clinicians

Practice addresses (Care Compare)

20 Park Dr
Hornell, NY 14843-2213
Phone (607) 324-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X006902-1NYMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John S Weyand DC PC CurrentSince Dec 15, 2001 Accepting new patients

Locations

20 Park Dr
Hornell, NY 14843
Phone (607) 324-7246

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St James HospitalHornell, NY, CCN 330151 Hospital Corporate Director May 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1376532523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK DR",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432213",
            "telephone_number": "607-324-7246",
            "fax_number": "607-324-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK DR",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432213",
            "telephone_number": "607-324-7246",
            "fax_number": "607-324-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEYAND",
        "first_name": "JOHN",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NY",
            "license": "X006902-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

Verify at the official NPI Registry.