Organization Active NPI

Weilert Chiropractic Office LLC

  • Chiropractor
  • Chanute, KS
National Provider Identifier
1871811372
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0103729 Issued in KS
Legal business name
WEILERT CHIROPRACTIC OFFICE LLC
Practice address
720 S Santa Fe Ave
Chanute, KS 66720-3043
Phone
(620) 431-2225
Fax
(620) 431-2225
NPI assigned
May 7, 2010
Last updated
Jun 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Dr. Timothy D Weilert, DCNPI 1568408821
Title
Owner
Phone
(620) 431-2225

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0105325 KS
Chiropractor 111N00000X 0103729 KS Primary

Addresses

Primary practice location

720 S Santa Fe Ave
Chanute, KS 66720-3043

Mailing address

720 S Santa Fe Ave
Chanute, KS 66720-3043
Phone (620) 431-2225

Other identifiers 2

IdentifierTypeStateIssuer
007374OtherKSMEDICARE PCAN
P001123160OtherKSMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000533 KS Part B Supplier - Clinic/Group Practice 5799816534 Receives reassigned benefits from 1 practitioner
Practice locations: Chanute, KS

National Provider Directory

National Provider Directory

Locations

720 S Santa Fe Ave
Chanute, KS 66720
Phone (620) 431-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1871811372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S SANTA FE AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203043",
            "telephone_number": "620-431-2225",
            "fax_number": "620-431-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S SANTA FE AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667203043",
            "telephone_number": "620-431-2225",
            "fax_number": "620-431-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEILERT CHIROPRACTIC OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "WEILERT",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-431-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0105325",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0103729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PCAN",
            "identifier": "007374",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P001123160",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanute, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.