Organization Active NPI

Weiss Chiropractic and Acupunture PC

  • Chiropractor
  • Imperial, NE
National Provider Identifier
1629411566
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0006592 Issued in CO
Legal business name
WEISS CHIROPRACTIC AND ACUPUNTURE PC
Practice address
32804 741 Rd
Imperial, NE 69033-3043
Phone
(308) 882-8020
NPI assigned
Apr 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Authorized official

Name
Calvin Gordon Weiss, DCNPI 1518117340
Title
Owner
Phone
(308) 882-8020

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 0006592 CO Primary

Addresses

Primary practice location

32804 741 Rd
Imperial, NE 69033-3043

Mailing address

32804 741 Rd
Imperial, NE 69033-3043

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090116000365 NE Part B Supplier - Clinic/Group Practice 8820151871 Receives reassigned benefits from 1 practitioner
Practice locations: Ogallala, NE

National Provider Directory

National Provider Directory

Locations

1010 Johnson Rd
Ste 110
Golden, CO 80401
Phone (303) 216-0105

113 W 3rd St
Ogallala, NE 69153
Phone (308) 882-8020

Practitioners & affiliated clinicians

Practitioners 2

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": "1365552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1629411566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32804 741 RD",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32804 741 RD",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333043",
            "telephone_number": "308-882-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS CHIROPRACTIC AND ACUPUNTURE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-10",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-882-8020",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "0006592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.