Organization Active NPI

Chiropractic Sports Institute a Professional Corporation

  • Sports Physician Chiropractor
  • Westlake Village, CA
National Provider Identifier
1477622827
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
20840 Issued in CA
Legal business name
CHIROPRACTIC SPORTS INSTITUTE A PROFESSIONAL CORPORATION
Practice address
2277 Townsgate Rd
Suite #101
Westlake Village, CA 91361-2415
Phone
(805) 371-0737
Fax
(805) 371-0735
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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

Authorized official

Name
Dr. Terry Leo Weyman, DCNPI 1215155429
Title
President Owner Chiropractor
Phone
(805) 371-0737

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
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 20840 CA Primary

Addresses

Primary practice location

2277 Townsgate Rd
Suite #101
Westlake Village, CA 91361-2415

Mailing address

2277 Townsgate Rd
Suite #101
Westlake Village, CA 91361-2415
Phone (805) 371-0737

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000653 CA Part B Supplier - Clinic/Group Practice 7618144452 Receives reassigned benefits from 1 practitioner
Practice locations: Westlake VLG, CA

National Provider Directory

National Provider Directory

Locations

2277 Townsgate Rd
Ste 101
Westlake Vlg, CA 91361
Phone (805) 371-0737

Practitioners & affiliated clinicians

Practitioners 4

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1477622827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 TOWNSGATE RD",
            "address_2": "SUITE #101",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612415",
            "telephone_number": "805-371-0737",
            "fax_number": "805-371-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 TOWNSGATE RD",
            "address_2": "SUITE #101",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612415",
            "telephone_number": "805-371-0737",
            "fax_number": "805-371-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC SPORTS INSTITUTE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "WEYMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "805-371-0737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "20840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.