Organization Active NPI

Douglas D Weber DC PA

  • Chiropractor
  • Melbourne, FL
National Provider Identifier
1427400142
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7359 Issued in FL
Legal business name
DOUGLAS D WEBER DC PA
Practice address
402 N Babcock St
Suite 101
Melbourne, FL 32935-7335
Phone
(321) 259-0090
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Douglas Dean Weber, DC
Title
Vice President
Phone
(321) 259-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7359 FL Primary

Addresses

Primary practice location

402 N Babcock St
Suite 101
Melbourne, FL 32935-7335

Mailing address

402 N Babcock St
Suite 101
Melbourne, FL 32935-7335
Phone (321) 259-0090

Other identifiers 1

IdentifierTypeStateIssuer
55615MedicaidFL

Other names 1

  • weber chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1727 N Atlantic Ave
Cocoa Beach, FL 32931
Phone (321) 259-0090

402 N Babcock St
Ste 101
Melbourne, FL 32935
Phone (321) 259-0090

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1427400142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357335",
            "telephone_number": "321-259-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N BABCOCK ST",
            "address_2": "SUITE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357335",
            "telephone_number": "321-259-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS D WEBER DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "321-259-0090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "7359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55615",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "weber chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.