Edward James Weller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007022344 Issued in MO

Practice address

15507 Manchester Rd
Ballwin, MO 63011-3001

Phone

(636) 527-3015

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Upper Cervical Center, Inc.

  • Clinic/Center
  • Schaumburg, IL
  • NPI 1558527929
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1659495083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15507 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113001",
            "telephone_number": "636-527-3015",
            "fax_number": "636-527-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15507 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113001",
            "telephone_number": "636-527-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "EDWARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007022344",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38009071",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Joe Webb, LMT
• Michael Patrick Weber, D.M.D., P.C.
• Sarah Wedick
• Mary Anne Wehrle
• William Charles Weir Jr., ATC
• West County Care Center, Inc.
• Westerfield Health Center, Inc
• Dena Michele Westerfield, DC
• Western Nursing & Rehabilitation Center LLC
• Wendy Westmoreland, RBT

• Chiropractor in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.