Organization Active NPI

Weber Chiropractic LLC

  • Sports Physician Chiropractor
  • Newberg, OR
National Provider Identifier
1770938987
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
5027 Issued in OR
Legal business name
WEBER CHIROPRACTIC LLC
Practice address
1530 E 1St St
Newberg, OR 97132-3237
Phone
(503) 538-7338
Fax
(503) 538-7339
NPI assigned
Apr 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Authorized official

Name
Anthony Weber, DCNPI 1487926127
Title
Owner
Phone
(503) 538-1232

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X 5027 OR Primary

Addresses

Primary practice location

1530 E 1St St
Newberg, OR 97132-3237

Mailing address

1530 E 1St St
Newberg, OR 97132-3237
Phone (503) 538-7338

Other practice location 1

1505 Portland Rd Ste 220
Newberg, OR 97132-1852
Phone (503) 538-1232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200225001346 OR Part B Supplier - Clinic/Group Practice 0547697955 Receives reassigned benefits from 1 practitioner
Practice locations: Newberg, OR

National Provider Directory

National Provider Directory

Locations

1505 E Portland Rd
Ste 220
Newberg, OR 97132
Phone (503) 538-1232

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1770938987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323237",
            "telephone_number": "503-538-7338",
            "fax_number": "503-538-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 E 1ST ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971323237",
            "telephone_number": "503-538-7338",
            "fax_number": "503-538-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Portland Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Newberg",
            "state": "OR",
            "postal_code": "971321852",
            "country_code": "US",
            "telephone_number": "503-538-1232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WEBER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-538-1232",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.