Individual provider Active NPI

Christie Marie Weibel-Maanum, D.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1407140619
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5556 Issued in MN
Practice address
1222 2ND St NE
Suite 202
Minneapolis, MN 55413-1130
Phone
(612) 378-3220
Fax
(612) 378-3225
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5556 MN Primary

Addresses

Primary practice location

1222 2ND St NE
Suite 202
Minneapolis, MN 55413-1130

Mailing address

1222 2ND St NE
Suite 202
Minneapolis, MN 55413-1130
Phone (612) 378-3220

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

Practice roles

OrganizationSpecialtyStatusNew patients
CWM Chiropractic Chiropractor PastSince Jun 3, 2011 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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1407140619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 2ND ST NE",
            "address_2": "SUITE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131130",
            "telephone_number": "612-378-3220",
            "fax_number": "612-378-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 2ND ST NE",
            "address_2": "SUITE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131130",
            "telephone_number": "612-378-3220",
            "fax_number": "612-378-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIBEL-MAANUM",
        "first_name": "CHRISTIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.