Individual provider Active NPI

Marc Evan Weissman, DC

  • Chiropractor
  • Scottsdale, AZ
National Provider Identifier
1689630907
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5868 Issued in AZ
Practice address
10135 E Via Linda
Suite 115
Scottsdale, AZ 85258-5328
Phone
(480) 661-7000
Fax
(480) 661-0220
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5868 AZ Primary

Addresses

Primary practice location

10135 E Via Linda
Suite 115
Scottsdale, AZ 85258-5328

Mailing address

10135 E Via Linda
Suite 115
Scottsdale, AZ 85258-5328
Phone (480) 661-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050824000976 AZ Practitioner - Chiropractic 1951332477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10135 E Via Linda
Suite 115
Scottsdale, AZ 85258-5312
Phone (480) 661-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5868AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Weissman DC PLC Chiropractor CurrentSince Nov 1, 2005 Accepting new patients

Locations

10135 E Via Linda
Ste 115
Scottsdale, AZ 85258
Phone (480) 661-7000

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1689630907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10135 E VIA LINDA",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585328",
            "telephone_number": "480-661-7000",
            "fax_number": "480-661-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10135 E VIA LINDA",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585328",
            "telephone_number": "480-661-7000",
            "fax_number": "480-661-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISSMAN",
        "first_name": "MARC",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.