Active NPI
Hans Orrin Wiederrich, D.C.
- Chiropractor
- Poway, CA
National Provider Identifier
1861552499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC23611
- Practice address
- 14103 Poway Rd
Poway, CA 92064-4926 - Phone
- (858) 748-4343
- Fax
- (858) 748-4881
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC23611 | CA | Primary |
Addresses
Primary practice location
14103 Poway Rd
Poway, CA 92064-4926
Mailing address
14103 Poway Rd
Poway, CA 92064-4926
Phone (858) 748-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Los Angeles, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14103 Poway Rd
Poway, CA 92064-4926
Phone (858) 748-4343
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23611 | CA | MD | Psychologist |
| DC23611 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott R Gilford DC, a Chiropractic Corporation | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Poway, CA
- NPI 1215098793
-
- Chiropractor
- Poway, CA
- NPI 1871511212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1861552499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14103 POWAY RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920644926",
"telephone_number": "858-748-4343",
"fax_number": "858-748-4881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14103 POWAY RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920644926",
"telephone_number": "858-748-4343",
"fax_number": "858-748-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDERRICH",
"first_name": "HANS",
"middle_name": "ORRIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC23611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
- Alana Whitesinger
- Lauren Whitfield, MA
- Kimberly Whitney
- Tracey Marie Whitney, LAC, HHP, LMT
- Wiederrich Chiropractic Clinic, Apc
- William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc.
- William Grant MD Inc
- William W Winternitz Jr MD Inc
- Camilla Ruth Williams, PH.D.
- Cordelia Williams, CMT, LMT, NCTMB
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.