Active NPI
Ted Weller, D.C.
- Chiropractor
- Thibodaux, LA
National Provider Identifier
1619096864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1062
- Practice address
- 970 S Acadia Rd
Thibodaux, LA 70301-4866 - Phone
- (985) 446-2403
- Fax
- (985) 446-9954
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1062 | LA | Primary |
Addresses
Primary practice location
970 S Acadia Rd
Thibodaux, LA 70301-4866
Mailing address
970 S Acadia Rd
Thibodaux, LA 70301-4866
Phone (985) 446-2403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
970 S Acadia Rd
Thibodaux, LA 70301-4978
Phone (985) 446-2403
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062 | LA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Flynn Manceaux Arcement Pizzolato of Thibodaux a Professional | Chiropractor | Current | Accepting new patients |
Locations
970 S Acadia Rd
Thibodaux, LA 70301
Phone (985) 446-2335
Organizations & group practices 1
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.
-
- Chiropractor
- Thibodaux, LA
- NPI 1043477375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1619096864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 S ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014866",
"telephone_number": "985-446-2403",
"fax_number": "985-446-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 S ACADIA RD",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014866",
"telephone_number": "985-446-2403",
"fax_number": "985-446-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLER",
"first_name": "TED",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.