Micayla Weider, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH61500575 Issued in WA

Practice address

20119 S Prairie Rd E
Bonney Lake, WA 98391-7935

Phone

(253) 862-1555

Fax

(253) 862-1557

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Henschell Chiropractic, P.S.

  • Chiropractor
  • Bonney Lake, WA
  • NPI 1255354296
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1386425916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20119 S PRAIRIE RD E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917935",
            "telephone_number": "253-862-1555",
            "fax_number": "253-862-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20119 S PRAIRIE RD E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983917935",
            "telephone_number": "253-862-1555",
            "fax_number": "253-862-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDER",
        "first_name": "MICAYLA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61500575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Wang, D.D.S.
• Alex George Wardle, PHARM D
• Washington CVS Pharmacy LLC
• Washington Dental Corporation, PC
• Jessica Anne Weatherseed, L.M.P.
• Nicholas C Welter, MD
• Stephen Alfred Wessenberg, PTA, BS, AS
• Esravila Ariya Wibisono, MD
• Sheila M Wiley, LMP
• Kelsey Williams, RN, BSN

• Chiropractor in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.