Stewart Ry Weaver, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

11324 Issued in TX

Practice address

5808 Greensboro Dr
Frisco, TX 75035-7975

Phone

(432) 296-1519

NPI assigned

Jan 19, 2010

Last updated

Jan 19, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Clark Chiropractic ClinicGroup PAC ID 2365509379, 6 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.

• Clark Chiropractic Clinic

  • Chiropractor
  • Odessa, TX
  • NPI 1952555211
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1528399375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5808 GREENSBOR DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "432-296-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5808 GREENSBORO DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750357975",
            "telephone_number": "432-296-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "STEWART",
        "middle_name": "RY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Waychoff, CCC-SLP
• Jason Kimble Wayne, D.C
• We Flourish, Inc.
• Alven Terrell Weathersby, LPC
• Maria Weaver-Ellerbee, M.D.
• Kyle Webb
• Kim M Weber, ARNP
• Robin Ann Weerts, CRNA
• Brian Lynn Weger, P.T.
• Ryan Joseph Weiche

• Chiropractor in Frisco, TX
• Providers in Frisco, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.