Active NPI
Leonard L. Weiss, D.C.
- Chiropractor
- Davenport, IA
National Provider Identifier
1487672093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06637
- Practice address
- 2322 E Kimberly Rd
Suite 120N
Davenport, IA 52807-7205 - Phone
- (563) 324-2225
- Fax
- (563) 359-3398
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06637 | IA | Primary |
Addresses
Primary practice location
2322 E Kimberly Rd
Suite 120N
Davenport, IA 52807-7205
Mailing address
2322 E Kimberly Rd
Suite 120N
Davenport, IA 52807-7205
Phone (563) 324-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0457960 | Medicaid | IA | |
| 38778 | Other | IA | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resolve Medical PLLC | Current | Accepting new patients | |
| Shipman Chiropractic | Chiropractor | Past | Accepting new patients |
| Shipman Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
513 Court St
Williamsburg, IA 52361
Phone (319) 668-8196
Organizations & group practices 3
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.
-
- General Practice Physician
- Williamsburg, IA
- NPI 1770425613
-
- Chiropractor
- Davenport, IA
- NPI 1710438445
-
- Chiropractor
- Davenport, IA
- NPI 1538204425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1487672093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 E KIMBERLY RD",
"address_2": "SUITE 120N",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528077205",
"telephone_number": "563-324-2225",
"fax_number": "563-359-3398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 E KIMBERLY RD",
"address_2": "SUITE 120N",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528077205",
"telephone_number": "563-324-2225",
"fax_number": "563-359-3398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISS",
"first_name": "LEONARD",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "06637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0457960",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "38778",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.