Dustin L Weber, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-05375 Issued in KS

Practice address

4583 Watkins St
Pace, FL 32571-2511

Phone

(305) 496-3689

NPI assigned

Jan 13, 2011

Last updated

Jul 14, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Modern Chiropractic of FloridaGroup PAC ID 4385042001, 2 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.

• Modern Chiropractic of Florida

  dba Modern Chiropractic

  • Chiropractor
  • Pace, FL
  • NPI 1154992733
  Medicare reassignment Care Compare group NPD Authorized official
• Pensacola Nephrology, PA

  dba Renalus Center for Kidney Care

  • Nephrology Physician
  • Pensacola, FL
  • NPI 1700829728
  NPD (past)

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1457656985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4583 WATKINS ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712511",
            "telephone_number": "305-496-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4583 WATKINS ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325712511",
            "telephone_number": "305-496-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "DUSTIN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-13",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "01-05375",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #05757)
• Matthew Carl Walters, PHARMD
• Paige V Ward
• Melissa Watson
• Courtney Watts, RBT
• Justin Weekley, PHARM.D.
• Well Point Health
• West Florida Internal Medicine LLC
• Jennifer Elizabeth Whitworth
• Camryn E Wilkerson

• Chiropractor in Pace, FL
• Providers in Pace, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.