Harbour Medical Centers

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7269 Issued in FL

Legal business name

HARBOUR MEDICAL CENTERS

Practice address

1411 SE Ocean Blvd
Stuart, FL 34996-2651

Phone

(772) 781-1101

Fax

(772) 781-1141

NPI assigned

Jul 19, 2018

Organization subpart

Yes

Parent organization

WIEDNER FAMILY CHIROPRACTIC PLLCAs reported in NPPES

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

Authorized official

Name

William J Wiedner, DC

Title

Proprietor

Phone

(772) 781-1101

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Wiedner Family Chiropractic Former legal business name

Part of

Wiedner Family Chiropractic

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wiedner Family Chiropractic

  • Clinic/Center
  • Stuart, FL
  • NPI 1871968032
  NPPES parent name

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1477030732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962651",
            "telephone_number": "772-781-1101",
            "fax_number": "772-781-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349962651",
            "telephone_number": "772-781-1101",
            "fax_number": "772-781-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOUR MEDICAL CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WIEDNER FAMILY CHIROPRACTIC PLLC",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "WIEDNER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "772-781-1101",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "55523",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "350041521",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790716058",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiedner Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Randolph V. Hansbrough, DC,DACAN
• Rodman Hanson
• Happy Face Behavioral Therapy Service Inc
• Lindsay Alissa Harbaugh
• Harbour Bay Pharmacy LLC
• Harbour Medical Centers, LLC
• Giovannie Fernando Hardan
• Brandi Harden
• Marisa Joy Hardenbergh, MS, RD, LDN
• Jessica Hardison

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.