Organization Active NPI

John S Weyand DC PC

  • Chiropractor
  • Hornell, NY
National Provider Identifier
1457366106
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006902-1 Issued in NY
Legal business name
JOHN S WEYAND DC PC
Practice address
20 Park Dr
Hornell, NY 14843-2213
Phone
(607) 324-7246
Fax
(607) 324-7249
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Mrs. Kimberly A Weyand
Title
Billing Specialist
Phone
(607) 324-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X X006902-1 NY Primary

Addresses

Primary practice location

20 Park Dr
Hornell, NY 14843-2213

Mailing address

20 Park Dr
Hornell, NY 14843-2213
Phone (607) 324-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051118000332 NY Part B Supplier - Clinic/Group Practice 0143249102 Receives reassigned benefits from 4 practitioners
Practice locations: Hornell, NY

National Provider Directory

National Provider Directory

Locations

20 Park Dr
Hornell, NY 14843
Phone (607) 324-7246

Practitioners & affiliated clinicians

Practitioners 6

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1457366106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK DR",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432213",
            "telephone_number": "607-324-7246",
            "fax_number": "607-324-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK DR",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148432213",
            "telephone_number": "607-324-7246",
            "fax_number": "607-324-7249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S WEYAND DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "WEYAND",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "607-324-7246",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006902-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hornell, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.