Organization Active NPI

Wiedner Family Chiropractic

  • Clinic/Center
  • Stuart, FL
National Provider Identifier
1871968032
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH7269 Issued in FL
Legal business name
WIEDNER FAMILY CHIROPRACTIC
Practice address
931 SE Ocean Blvd Ste C
Stuart, FL 34994-2425
Phone
(772) 781-1101
Fax
(772) 781-1141
NPI assigned
Dec 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Ms. Olga Veiga
Title
Insurance
Phone
(772) 781-1101

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH7269 FL Primary
Physical Therapy Clinic/Center 261QP2000X CH7269 FL

Addresses

Primary practice location

931 SE Ocean Blvd Ste C
Stuart, FL 34994-2425

Mailing address

931 SE Ocean Blvd Ste C
Stuart, FL 34994-2425
Phone (772) 781-1101

Other identifiers 3

IdentifierTypeStateIssuer
350041521OtherFLRAILROAD MEDICARE PTAN
55523OtherFLMEDICARE PTAN
55523OtherFLBLUE CROSS / BLUE SHIELD PTAN

National Provider Directory

National Provider Directory

Locations

931 SE Ocean Blvd
Ste C
Stuart, FL 34994
Phone (772) 287-4555

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1871968032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SE OCEAN BLVD STE C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942425",
            "telephone_number": "772-781-1101",
            "fax_number": "772-781-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 SE OCEAN BLVD STE C",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942425",
            "telephone_number": "772-781-1101",
            "fax_number": "772-781-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIEDNER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "VEIGA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "772-781-1101",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "CH7269",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "CH7269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "350041521",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "55523",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD PTAN",
            "identifier": "55523",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.