Individual provider Active NPI

Chadwick Weber, D.C.

  • Chiropractor
  • Flandreau, SD
National Provider Identifier
1821270083
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
851 Issued in SD
Practice address
109 E 2ND Ave
Flandreau, SD 57028-1222
Phone
(605) 997-3733
NPI assigned
Nov 29, 2007
Last updated
Feb 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 851 SD Primary

Addresses

Primary practice location

109 E 2ND Ave
Flandreau, SD 57028-1222

Mailing address

109 E 2ND Ave
Flandreau, SD 57028-1222
Phone (605) 997-3733

Other identifiers 2

IdentifierTypeStateIssuer
46G26WEOtherMNBCBSMN PIN
7604032MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040407000620 SD Practitioner - Chiropractic 1658364385 Reassigns benefits to 1 organization
I20260420002815 TX Practitioner - Chiropractic 1658364385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Tribal Chairmen's Health BoardGroup PAC ID 0648609917, 64 clinicians

Practice addresses (Care Compare)

109 E 2ND Ave
Flandreau, SD 57028-1222
Phone (605) 997-3733

3200 Canyon Lake Dr
Rapid City, SD 57702-8114
Phone 60535525002356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flandreau Chiropractic Clinic, P.C. Chiropractor CurrentSince May 1, 2001 Accepting new patients

Locations

109 E 2nd Ave
Flandreau, SD 57028
Phone (605) 997-3733

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": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233619200000",
    "number": "1821270083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 2ND AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281222",
            "telephone_number": "605-997-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 2ND AVE",
            "city": "FLANDREAU",
            "state": "SD",
            "postal_code": "570281222",
            "telephone_number": "605-997-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "CHADWICK",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2009-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMN PIN",
            "identifier": "46G26WE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7604032",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flandreau, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.