Jerry Thomas Weider Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00003210 Issued in WA

Practice address

5429 Russell Ave NW Ste 300
Seattle, WA 98107-4010

Phone

(206) 783-6000

Fax

(206) 783-6006

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Strait Occupational &Hand Therapy

  • Hand Occupational Therapist
  • Port Angeles, WA
  • NPI 1659429983
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1700967445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 RUSSELL AVE NW STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074010",
            "telephone_number": "206-783-6000",
            "fax_number": "206-783-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 RUSSELL AVE NW STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074010",
            "telephone_number": "206-783-6000",
            "fax_number": "206-783-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIDER",
        "first_name": "JERRY",
        "middle_name": "THOMAS",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2020592",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Jiawen Wei, MD
• Jerry Wei, MD
• Joshua Michael Weibel
• Joseph Weichsel, RN
• Hannah Lyn Weidenbach
• Jacob Scott Weidert, P.A.
• Wesley D Weidle, PA-C
• Megan Catherine Weidlich, DPT
• Andrea Ann Weidman, LPN
• Kendall Nicole Weierich, MD

• Chiropractor in Seattle, WA
• Providers in Seattle, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.