Active NPI
Jeffrey S Weislow, D.C.
- Chiropractor
- El Paso, TX
National Provider Identifier
1902813207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2948
- Practice address
- 1722 N Zaragoza Rd
Suite B
El Paso, TX 79936-8032 - Phone
- (915) 593-1330
- Fax
- (915) 921-7702
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2948 | TX | Primary |
Addresses
Primary practice location
1722 N Zaragoza Rd
Suite B
El Paso, TX 79936-8032
Mailing address
1722 N Zaragoza Rd
Suite B
El Paso, TX 79936-8032
Phone (915) 593-1330
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001191801 | Medicaid | TX | |
| 601229 | Other | TX | BC/BS OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090121000710 | TX | Practitioner - Chiropractic | 4587728431 | Practice locations: El Paso, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1722 N Zaragoza Rd
Suite B
El Paso, TX 79936-8033
Phone (915) 921-7700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1902813207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1722 N ZARAGOZA RD",
"address_2": "SUITE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368032",
"telephone_number": "915-593-1330",
"fax_number": "915-921-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 N ZARAGOZA RD",
"address_2": "SUITE B",
"city": "EL PASO",
"state": "TX",
"postal_code": "799368032",
"telephone_number": "915-593-1330",
"fax_number": "915-921-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISLOW",
"first_name": "JEFFREY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "2948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001191801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF TEXAS",
"identifier": "601229",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.