Individual provider Active NPI

Kristal Wolf Weinstein, D.C.

  • Chiropractor
  • Moon Township, PA
National Provider Identifier
1700184207
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC010414 Issued in PA
Practice address
650 Cherrington Pkwy
Moon Township, PA 15108-4300
Phone
(412) 269-0444
Fax
(412) 269-1594
NPI assigned
Mar 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC010414 PA Primary

Addresses

Primary practice location

650 Cherrington Pkwy
Moon Township, PA 15108-4300

Mailing address

650 Cherrington Pkwy
Moon Township, PA 15108-4300
Phone (412) 269-0444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117001427 ND Practitioner - ChiropracticPractitioner - Family Practice 6608050950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Family Practice
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Candk Weinstein PCGroup PAC ID 9638445380, 2 clinicians

Practice addresses (Care Compare)

849 3Rd Ave W
Dickinson, ND 58601-3810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
C&K Weinstein PC Chiropractor CurrentSince Jul 12, 2017 Accepting new patients

Locations

849 3rd Ave W
Dickinson, ND 58601
Phone (701) 483-1990

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359072000000",
    "number": "1700184207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 CHERRINGTON PKWY",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084300",
            "telephone_number": "412-269-0444",
            "fax_number": "412-269-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CHERRINGTON PKWY",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151084300",
            "telephone_number": "412-269-0444",
            "fax_number": "412-269-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "KRISTAL",
        "middle_name": "WOLF",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2013-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC010414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moon Township, PA

Sources for this page

Verify at the official NPI Registry.