Kim Annette Wieburg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

18694 Issued in CA

Practice address

555 Soquel Ave
Ste. 260
Santa Cruz, CA 95062-2336

Phone

(831) 247-9842

Fax

(831) 479-3239

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1649373606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2134 FRANCESCO CIR",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102075",
            "telephone_number": "831-247-9842",
            "fax_number": "831-479-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SOQUEL AVE",
            "address_2": "STE. 260",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622336",
            "telephone_number": "831-247-9842",
            "fax_number": "831-479-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEBURG",
        "first_name": "KIM",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "18694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Joy Whittington
• Elanna Whittle-Daggett, IMF 43803
• Feng Widergren, RN
• Robert Benjamin Widerspan, OD
• Courtney Frances Widmann, PA-C
• Melissa Brie Wieselman, L.AC
• Jasmine Wiest, L.AC.
• Alison Read Wight, MSW
• Tracy L Wikander, MFT
• Ralph Wilcox III, CADC

• Chiropractor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.