Active NPI
Douglas D Weber DC PA
- Chiropractor
- Melbourne, FL
National Provider Identifier
1427400142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7359
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55615 | Medicaid | FL |
Other names 1
- weber chiropractic
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Cocoa Beach, FL
- NPI 1124229729
-
- Chiropractor
- Cocoa Beach, FL
- NPI 1407821788
-
- Chiropractor
- Titusville, FL
- NPI 1821058983
-
- Chiropractor
- Rockledge, FL
- NPI 1164466702
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.