Weston Kenneth Loder

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013806 Issued in IL

Practice address

920 W Prairie Dr Ste J
Sycamore, IL 60178-3123

Phone

(815) 766-3649

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in KS, TX2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waxahachie ChiropracticGroup PAC ID 1759700685, 3 clinicians

Keating Chiropractic PAGroup PAC ID 0042408346, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keating Chiropractic PA

  • Chiropractor
  • Junction City, KS
  • NPI 1912209826
  Medicare reassignment Care Compare group NPD
• Waxahachie Chiropractic

  • Chiropractor
  • Waxahachie, TX
  • NPI 1255881728
  Medicare reassignment Care Compare group NPD
• Chiropractic Wellness Center PA

  • Chiropractor
  • Salina, KS
  • NPI 1659455210
  Medicare reassignment NPD
• Premier Medical Management LTD

  dba Family Chiropractic

  • Family Medicine Physician
  • Terre Haute, IN
  • NPI 1518558055

  Chiropractor

  NPD
• John M Wertin D C P a

  dba Alternative Health Care

  • Chiropractor
  • Manhattan, KS
  • NPI 1447355631
  NPD (past)

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1437816295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 W PRAIRIE DR STE J",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783123",
            "telephone_number": "815-766-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 W PRAIRIE DR STE J",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783123",
            "telephone_number": "815-766-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LODER",
        "first_name": "WESTON",
        "middle_name": "KENNETH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Photine Liakos, M.D.
• Stephanie Rae Liesse, DPT
• Lifestyle Family Chiropractic, P.C.
• Lighthouse Professional Counseling Center, LLC
• Jennifer Lindskog, PSYD
• Lonn E Brander DDS LTD (Brander Dental Care & Sleep Wellness)
• Edgar Lopez
• Abraham N Lotan, MD
• Emilie Frances Lothson
• Elizabeth Lowe, MA

• Chiropractor in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.