Organization Active NPI

Weierke Chiropractic PA

  • Chiropractor
  • Taylors Falls, MN
National Provider Identifier
1568876993
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2414 Issued in MN
Legal business name
WEIERKE CHIROPRACTIC PA
Practice address
386 Bench St
Taylors Falls, MN 55084-5508
Phone
(651) 465-3811
NPI assigned
Jun 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Dr. Brenda WeierkeNPI 1184724767
Title
President
Phone
(651) 455-3405

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2414 MN Primary

Addresses

Primary practice location

386 Bench St
Taylors Falls, MN 55084-5508

Mailing address

PO Box 237
Taylors Falls, MN 55084-0237
Phone (651) 465-3811

Other practice location 1

303 21st St Ste 152
Newport, MN 55055-1185
Phone (651) 455-3405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140708001500 MN Part B Supplier - Clinic/Group Practice 1355566373 Receives reassigned benefits from 1 practitioner
Practice locations: Taylors Falls, MN; Newport, MN

National Provider Directory

National Provider Directory

Locations

303 21st St
Ste 152
Newport, MN 55055
Phone (651) 455-3405

820 Southview Blvd
Ste 101
South St Paul, MN 55075
Phone (651) 455-3405

625 Southview Blvd
#B
South St Paul, MN 55075
Phone (612) 248-5217

386 Bench St
Taylors Falls, MN 55084
Phone (651) 465-3811

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": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1568876993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "TAYLORS FALLS",
            "state": "MN",
            "postal_code": "550840237",
            "telephone_number": "651-465-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 BENCH ST",
            "city": "TAYLORS FALLS",
            "state": "MN",
            "postal_code": "550845508",
            "telephone_number": "651-465-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 21st St Ste 152",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "MN",
            "postal_code": "550551185",
            "country_code": "US",
            "telephone_number": "651-455-3405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEIERKE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WEIERKE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-455-3405",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.