Active NPI
Analisa Wedemeyer, DC
- Chiropractor
- Menlo Park, CA
National Provider Identifier
1407930738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29562
- Practice address
- 325 Sharon Park Dr
Suite B6
Menlo Park, CA 94025-6805 - Phone
- (650) 233-7333
- Fax
- (650) 233-7330
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29562 | CA | Primary |
Addresses
Primary practice location
325 Sharon Park Dr
Suite B6
Menlo Park, CA 94025-6805
Mailing address
325 Sharon Park Dr
Suite B6
Menlo Park, CA 94025-6805
Phone (650) 233-7333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC29562 | Other | CA | CALIFORNIA LICENSE |
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 |
|---|---|---|---|
| DC29562 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McTaggart Chiropractic Corporation | Chiropractor | Past | 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.
-
- Chiropractor
- Menlo Park, CA
- NPI 1477328573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1407930738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SHARON PARK DR",
"address_2": "SUITE B6",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256805",
"telephone_number": "650-233-7333",
"fax_number": "650-233-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SHARON PARK DR",
"address_2": "SUITE B6",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256805",
"telephone_number": "650-233-7333",
"fax_number": "650-233-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEDEMEYER",
"first_name": "ANALISA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "DC29562",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.