NPIMap

Organization Active NPI

Weingard Wellness LLC

  • Clinic/Center
  • Newberg, OR
National Provider Identifier
1437675733
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5625 Issued in OR
Legal business name
WEINGARD WELLNESS LLC
Practice address
3100 E Haworth Ave Ste 260
Newberg, OR 97132-2197
Phone
(503) 538-5433
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Dr. Ty Weingard, DCNPI 1811215163
Title
Member
Phone
(253) 691-4260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5625 OR Primary

Addresses

Primary practice location

3100 E Haworth Ave Ste 260
Newberg, OR 97132-2197

Mailing address

700 Deborah Rd Ste 270
Newberg, OR 97132-2270

Other names 1

  • Kismet Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171009002590 OR Part B Supplier - Clinic/Group Practice 3375818818 Receives reassigned benefits from 2 practitioners
Practice locations: Newberg, OR

National Provider Directory

National Provider Directory

Locations

3100 E Haworth Ave
Ste 260
Newberg, OR 97132
Phone (503) 538-5433

700 N Deborah Rd
Ste 270
Newberg, OR 97132
Phone (503) 538-5433

Practitioners & affiliated clinicians

Practitioners 7

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": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1437675733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 DEBORAH RD STE 270",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E HAWORTH AVE STE 260",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322197",
            "telephone_number": "503-538-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEINGARD WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "WEINGARD",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "253-691-4260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "5625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kismet Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.