Individual provider Active NPI

Korey Wiemold, D.C.

  • Chiropractor
  • Fishers, IN
National Provider Identifier
1487074159
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002770A Issued in IN
Practice address
10126 Brooks School Rd
Fishers, IN 46037-9575
Phone
(317) 288-4514
Fax
(317) 288-4517
NPI assigned
Apr 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002770A IN Primary

Addresses

Primary practice location

10126 Brooks School Rd
Fishers, IN 46037-9575

Mailing address

10126 Brooks School Rd
Fishers, IN 46037-9575
Phone (317) 288-4514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140428001581 IN Practitioner - Chiropractic 8224260468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Chiropractic and Wellness LLCGroup PAC ID 7719119957, 2 clinicians

Practice addresses (Care Compare)

10126 Brooks School Rd
Fishers, IN 46037-9575
Phone (317) 288-4514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Chiropractic & Wellness LLC CurrentSince Apr 22, 2014 Accepting new patients

Locations

10126 Brooks School Rd
Fishers, IN 46037
Phone (317) 225-1197

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1487074159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10126 BROOKS SCHOOL RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379575",
            "telephone_number": "317-288-4514",
            "fax_number": "317-288-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10126 BROOKS SCHOOL RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460379575",
            "telephone_number": "317-288-4514",
            "fax_number": "317-288-4517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEMOLD",
        "first_name": "KOREY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002770A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.