Active NPI
Neuel Edwin Weathersby, D.C.
- Chiropractor
- Glendale, AZ
National Provider Identifier
1437163391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4152
- Practice address
- 6033 W Bell Rd
Suite H
Glendale, AZ 85308-3762 - Phone
- (602) 987-3321
- Fax
- (602) 978-5701
- NPI assigned
- Jul 28, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 4152 | AZ | Primary |
Addresses
Primary practice location
6033 W Bell Rd
Suite H
Glendale, AZ 85308-3762
Mailing address
6033 W Bell Rd
Suite H
Glendale, AZ 85308-3762
Phone (602) 987-3321
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 |
|---|---|---|---|
| 4152 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jensen Moore Chiropractic PLLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1437163391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6033 W BELL RD",
"address_2": "SUITE H",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083762",
"telephone_number": "602-987-3321",
"fax_number": "602-978-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6033 W BELL RD",
"address_2": "SUITE H",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853083762",
"telephone_number": "602-987-3321",
"fax_number": "602-978-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERSBY",
"first_name": "NEUEL",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "4152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.