NPIMap

Organization Active NPI

Weldy Family Chiropractic LLC

  • Chiropractor
  • Mount Vernon, MO
National Provider Identifier
1699367466
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELDY FAMILY CHIROPRACTIC LLC
Practice address
731 Hastings St
Mount Vernon, MO 65712-1077
Phone
(417) 366-4654
NPI assigned
Feb 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Auston Weldy, D.C.NPI 1255929154
Title
Owner
Phone
(417) 366-4654

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 Primary

Addresses

Primary practice location

731 Hastings St
Mount Vernon, MO 65712-1077

Mailing address

731 Hastings St
Mount Vernon, MO 65712-1077
Phone (417) 366-4654

Other names 2

  • Mt. Vernon Spine Doing business as
  • Weldy Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210809002857 MO Part B Supplier - Clinic/Group Practice 3971907262 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Vernon, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1699367466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 HASTINGS ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121077",
            "telephone_number": "417-366-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 HASTINGS ST",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657121077",
            "telephone_number": "417-366-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELDY FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "WELDY",
        "authorized_official_first_name": "AUSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-366-4654",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Vernon Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weldy Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.