Active NPI
Wallace Corey Weekes, D.C.
- Chiropractor
- Golden, CO
National Provider Identifier
1699906347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6386
- Practice address
- 400 Indiana St Ste 320
Golden, CO 80401-5033 - Phone
- (720) 722-3392
- NPI assigned
- Jul 29, 2009
- Last updated
- May 31, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | B01277 | NV | |
| Chiropractor | 111N00000X | 7811 | AZ | |
| Chiropractor | 111N00000X | 6386 | CO | Primary |
Addresses
Primary practice location
400 Indiana St Ste 320
Golden, CO 80401-5033
Mailing address
443 Wright St Apt 308
Lakewood, CO 80228-1155
Phone (720) 229-3795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7811 | AZ | MD | Chiropractor |
| B01277 | NV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Urgent Care | Past | Accepting new patients | |
| Heuser Chiropractic, P.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Colorado Springs, CO
- NPI 1629277314
-
- Urgent Care Clinic/Center
- Las Vegas, NV
- NPI 1578478673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1699906347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 WRIGHT ST APT 308",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802281155",
"telephone_number": "720-229-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 INDIANA ST STE 320",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015033",
"telephone_number": "720-722-3392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKES",
"first_name": "WALLACE",
"middle_name": "COREY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-29",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NV",
"license": "B01277",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AZ",
"license": "7811",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "6386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.