Organization Active NPI

Wiegel Chiropractic, P.a.

  • Chiropractor
  • Bismarck, ND
National Provider Identifier
1578804316
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
921 Issued in ND
Legal business name
WIEGEL CHIROPRACTIC, P.A.
Practice address
407 S 2ND St
Bismarck, ND 58504-5535
Phone
(701) 202-4747
Fax
(701) 663-0212
NPI assigned
Mar 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Dr. Lance Allen Wiegel, D.C.NPI 1275718975
Title
Owner
Phone
(701) 202-4747

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 921 ND Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 922 ND
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

407 S 2ND St
Bismarck, ND 58504-5535

Mailing address

407 S 2ND St
Bismarck, ND 58504-5535
Phone (701) 425-0797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528001532 ND Part B Supplier - Clinic/Group Practice 4385867902 Receives reassigned benefits from 3 practitioners
Practice locations: Bismarck, ND

National Provider Directory

National Provider Directory

Locations

207 E Front Ave
Ste A
Bismarck, ND 58504
Phone (701) 425-0797

407 S 2nd St
Bismarck, ND 58504
Phone (701) 223-8237

Practitioners & affiliated clinicians

Practitioners 3

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": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1578804316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 S 2ND ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045535",
            "telephone_number": "701-425-0797",
            "fax_number": "701-425-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 S 2ND ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585045535",
            "telephone_number": "701-202-4747",
            "fax_number": "701-663-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEGEL CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "WIEGEL",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-202-4747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "921",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "922",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

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