Carlos Martin Wiegering, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC008692 Issued in PA

Practice address

502 Logan Blvd
Altoona, PA 16602-4104

Phone

(814) 944-3536

Fax

(814) 941-7660

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Hampton Direct Primary Care

  dba Hampton Medical Direct Primary Care

  • Primary Care Clinic/Center
  • Altoona, PA
  • NPI 1306406855
  NPD (past)

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251849600000",
    "number": "1417940800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024104",
            "telephone_number": "814-944-3536",
            "fax_number": "814-941-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 LOGAN BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024104",
            "telephone_number": "814-944-3536",
            "fax_number": "814-941-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGERING",
        "first_name": "CARLOS",
        "middle_name": "MARTIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC008692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019480800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Elaine Whysong, RPH
• Ashtyn T Whyte
• Amanda Jun Wible, LSW
• William J Wiedemer, D.P.M.
• Axelle Lourdes Wiegering, D.M.D.
• Lauren Wiegman, PT, DPT, CKTP
• Meghan Elizabeth Wilburn
• Mary Oleary Wiley, PHD
• Mark Wilford
• Ian Nicholas Wilhelm, M.D.

• Chiropractor in Altoona, PA
• Providers in Altoona, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.