Thomas Mitchell Wiest, DC, DIBCN

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

CH14572 Issued in FL

Practice address

1201 NE 26TH St Ste 106
Wilton Manors, FL 33305-1206

Phone

(754) 799-3852

Fax

(754) 799-3739

NPI assigned

Jun 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• New Journey Chiropractor and Wellness LLC

  • Health Service Clinic/Center
  • Wilton Manors, FL
  • NPI 1912778416
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1871279547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5372 NE 3RD AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341673",
            "telephone_number": "754-799-3852",
            "fax_number": "754-799-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NE 26TH ST STE 106",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051206",
            "telephone_number": "754-799-3852",
            "fax_number": "754-799-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEST",
        "first_name": "THOMAS",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DC, DIBCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH14572",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH14572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry S Weinberg, DC
• Welcome Home
• Wellington Pharmacy Inc
• Wellington Pharmacy Inc
• Julian Whitely-Jackson
• Dahlia Gladola Wiggan, ARNP
• Jennifer Wilbanks, LCSW
• Erin Teresa Williams, M.S.
• Georgia Kimesha Williams, REGISTERED NURSE
• Lynn Susan Williams, RPH

• Neurology Chiropractor in Wilton Manors, FL
• Providers in Wilton Manors, FL by specialty
• Neurology Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.