Individual provider Active NPI

Weston L Squires, D.C.

  • Chiropractor
  • Scottville, MI
National Provider Identifier
1659802890
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010504 Issued in MI
Practice address
414 W US Highway 10 31
Scottville, MI 49454-9274
Phone
(231) 757-3356
Fax
(231) 757-4640
NPI assigned
Mar 21, 2017
Last updated
Sep 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010504 MI Primary

Addresses

Primary practice location

414 W US Highway 10 31
Scottville, MI 49454-9274

Mailing address

414 W US Highway 10 31
Scottville, MI 49454-9274
Phone (231) 757-3356

Other identifiers 1

IdentifierTypeStateIssuer
111N00000XMedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170324000738 MI Practitioner - Chiropractic 7810272317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Squires Chiropractic PLLCGroup PAC ID 3274909023, 2 clinicians

Practice addresses (Care Compare)

414 W US Hwy 10 31
Scottville, MI 49454-9274
Phone (231) 757-3356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Squires Chiropractic PLLC Chiropractor CurrentSince Oct 1, 2022 Accepting new patients
Squires Family Chiropractic PastSince Oct 1, 2022 Accepting new patients

Locations

414 W US Highway 10 31
Scottville, MI 49454
Phone (231) 757-3356

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1659802890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W US HIGHWAY 10 31",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494549274",
            "telephone_number": "231-757-3356",
            "fax_number": "231-757-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W US HIGHWAY 10 31",
            "city": "SCOTTVILLE",
            "state": "MI",
            "postal_code": "494549274",
            "telephone_number": "231-757-3356",
            "fax_number": "231-757-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRES",
        "first_name": "WESTON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111N00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.

Verify at the official NPI Registry.