Lawrence Robert Weiss, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007148 Issued in MI

Practice address

44170 W. 12 Mile Rd
Ste. 100
Novi, MI 48377

Phone

(248) 624-9393

Fax

(248) 773-8740

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Weiss Chiropractic PlymouthGroup PAC ID 7618349507, 5 clinicians

Weiss Chiropractic Life Center PLCGroup PAC ID 5294929014, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Weiss Chiropractic Life Center PLC

  • Chiropractor
  • Novi, MI
  • NPI 1114227063
  Medicare reassignment Care Compare group NPD Authorized official
• Weiss Chiropractic Plymouth

  • Chiropractor
  • Plymouth, MI
  • NPI 1104531946
  Medicare reassignment Care Compare group NPD Authorized official
• Weiss Chiropractic Macomb

  • Chiropractor
  • Macomb, MI
  • NPI 1558185249
  Medicare reassignment NPD Authorized official
• Greer Chiropractic Life Center P. L.L.C.

  • Chiropractor
  • Plymouth, MI
  • NPI 1538227988
  NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1871635409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44170 W. 12 MILE RD",
            "address_2": "STE. 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-624-9393",
            "fax_number": "248-773-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44170 W. 12 MILE RD",
            "address_2": "STE. 100",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-624-9393",
            "fax_number": "248-773-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "LAWRENCE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "383418444",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "95035449",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3495449",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECTCARE PROVIDER #",
            "identifier": "168901",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN PROVIDER #",
            "identifier": "P99468",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Weinzetl
• Kelly Michelle Weir, AT, ATC, PES, CSCS
• Nathan Weirauch, OTR/L
• Alicia Marie Weisensel, MS, LLP
• Weiss Chiropractic Life Center PLC
• Maxwell Morris Weiss, DC
• Megan Weiss
• Angela Welch
• Sonia Otero Welk
• Wellbridge of Novi LLC

• Chiropractor in Novi, MI
• Providers in Novi, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.