Lydia Jane Krzyzak Weir

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

106750 Issued in IA

Practice address

1444 NW 124TH CT
Clive, IA 50325-8150

Phone

(515) 278-2782

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Krzyzak Chiropractic, LLC

  • Chiropractor
  • Clive, IA
  • NPI 1275262768
  Medicare reassignment NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1760074397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 NW 124TH CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258150",
            "telephone_number": "515-278-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 NW 124TH CT",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258150",
            "telephone_number": "515-278-2782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Ingersoll Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093321",
            "country_code": "US",
            "telephone_number": "515-225-2237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIR",
        "first_name": "LYDIA",
        "middle_name": "JANE KRZYZAK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "106750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Ryan Watkins, DC
• Tricia Leann Watts
• Waukee Chiropractic Center PC
• Brooklynn Marie Way, TLMHC
• Corey R Weaver, ARNP
• Michelle Lynn Welsh, R.PH.
• West End Chiropractic LLC
• West Lakes Surgery Center LLC
• Jill Suzanne Westercamp, M.D.
• Westown Parkway Dental Affiliates, PC

• All providers in Clive, IA
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.