Organization Active NPI

Eastern PA. Chiropractic and Functional Rehab

  • Chiropractor
  • Quakertown, PA
National Provider Identifier
1699729897
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8644 Issued in PA
Legal business name
EASTERN PA. CHIROPRACTIC AND FUNCTIONAL REHAB
Practice address
312 Juniper St
Quakertown, PA 18951-1604
Phone
(215) 536-4333
Fax
(215) 536-5030
NPI assigned
May 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Dr. Craig W Weismantel, D.C.NPI 1477522688
Title
Doctor/Owner
Phone
(215) 536-4333

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 DC8644 PA Primary

Addresses

Primary practice location

312 Juniper St
Quakertown, PA 18951-1604

Mailing address

PO Box 497
Ottsville, PA 18942-0497
Phone (215) 536-4333

Other identifiers 5

IdentifierTypeStateIssuer
664536OtherPAACN GROUP
001546577OtherPAHIGHMARK BCBS
2230857000OtherPAPERSONAL CHOICE
3325817OtherPAAETNA
2230857000OtherPAKEYSTONE AMERIHEALTH

Other names 1

  • Eastern Pa. Chiropractic Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000340 PA Part B Supplier - Clinic/Group Practice 9133118003 Receives reassigned benefits from 1 practitioner
Practice locations: Quakertown, PA

National Provider Directory

National Provider Directory

Locations

281 Tabor Rd
Fl 2
Ottsville, PA 18942
Phone (610) 847-3034

312 Juniper St
Quakertown, PA 18951
Phone (215) 536-4333

Practitioners & affiliated clinicians

Practitioners 1

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1699729897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "OTTSVILLE",
            "state": "PA",
            "postal_code": "189420497",
            "telephone_number": "215-536-4333",
            "fax_number": "215-536-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 JUNIPER ST",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511604",
            "telephone_number": "215-536-4333",
            "fax_number": "215-536-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PA. CHIROPRACTIC AND FUNCTIONAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "WEISMANTEL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "215-536-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC8644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP",
            "identifier": "664536",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "001546577",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2230857000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3325817",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE AMERIHEALTH",
            "identifier": "2230857000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Pa. Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Quakertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2016; 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.