Individual provider Active NPI

William F Weiss, DC

  • Chiropractor
  • Middletown, CT
National Provider Identifier
1770662595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000696 Issued in CT
Practice address
909 Newfield Street
Middletown, CT 06457-1817
Phone
(860) 632-1022
Fax
(860) 635-9501
NPI assigned
Nov 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000696 CT Primary

Addresses

Primary practice location

909 Newfield Street
Middletown, CT 06457-1817

Mailing address

909 Newfield Street
Middletown, CT 06457-1817
Phone (860) 632-1022

Other identifiers 2

IdentifierTypeStateIssuer
050000696CT03OtherCTBCBS
696000OtherCTCONNECTI CARE HMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000738 CT Practitioner - Chiropractic 1254598436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 Court St
Suite 1C
Cromwell, CT 06416-1273
Phone (203) 533-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000696CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weiss & Ruggiero Chiropractic and Neurology Center LLC Chiropractor CurrentSince May 28, 2024 Accepting new patients
Middlesex Hospital PastSince Apr 24, 2000 Accepting new patients

Locations

110 Court St
Ste 1C
Cromwell, CT 06416
Phone (203) 533-2240

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770662595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 NEWFIELD STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571817",
            "telephone_number": "860-632-1022",
            "fax_number": "860-635-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 NEWFIELD STREET",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571817",
            "telephone_number": "860-632-1022",
            "fax_number": "860-635-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "050000696CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTI CARE HMO",
            "identifier": "696000",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.