Organization Active NPI

Weaver Chiropractic Wellness, Inc

  • Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1558923698
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WEAVER CHIROPRACTIC WELLNESS, INC
Practice address
3151 Airway Ave Ste F205
Costa Mesa, CA 92626-4621
Phone
(949) 416-5429
NPI assigned
Jun 28, 2019
Last updated
Nov 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Authorized official

Name
Dr. Michelle Yuka Weaver, DC, IBCLCNPI 1811444243
Title
Owner
Phone
(949) 228-9253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary
Lactation Consultant (Non-RN) 174N00000X NU

Addresses

Primary practice location

3151 Airway Ave Ste F205
Costa Mesa, CA 92626-4621

Mailing address

3151 Airway Ave Ste F205
Costa Mesa, CA 92626-4621
Phone (949) 416-5429

Other identifiers 2

IdentifierTypeStateIssuer
L-315175OtherCALACTATION CONSULTANT
33650OtherCACHIROPRACTOR

National Provider Directory

National Provider Directory

Locations

3151 Airway Ave
Ste F205
Costa Mesa, CA 92626
Phone (949) 228-9253

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731715200000",
    "number": "1558923698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE F205",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264621",
            "telephone_number": "949-416-5429",
            "fax_number": "949-299-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE F205",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264621",
            "telephone_number": "949-416-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER CHIROPRACTIC WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YUKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-228-9253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, IBCLC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACTATION CONSULTANT",
            "identifier": "L-315175",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "33650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.