Active NPI
Weber Chiropractic Clinic SC
- Chiropractor
- Prairie Du Chien, WI
National Provider Identifier
1912119173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3386-012
- Legal business name
- WEBER CHIROPRACTIC CLINIC SC
- Practice address
- 601 E Blackhawk Ave
Prairie Du Chien, WI 53821 - Phone
- (608) 326-2511
- Fax
- (608) 326-2167
- NPI assigned
- May 3, 2007
- Last updated
- Mar 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan J Weber, D.C.
- Title
- Doctor
- Phone
- (608) 326-2511
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3386-012 | WI | Primary |
Addresses
Primary practice location
601 E Blackhawk Ave
Prairie Du Chien, WI 53821
Mailing address
62800 Collins LN
Prairie Du Chien, WI 53821
Phone (608) 326-8792
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38896800 | Medicaid | WI | |
| 350038301 | Other | WI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
601 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-2511
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Chiropractor
- Prairie Du Chien, WI
- NPI 1215991971
-
- Chiropractor
- Verona, WI
- NPI 1740232198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300233600000",
"number": "1912119173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62800 COLLINS LN",
"city": "PRAIRIE DU CHIEN",
"state": "WI",
"postal_code": "53821",
"telephone_number": "608-326-8792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E BLACKHAWK AVE",
"city": "PRAIRIE DU CHIEN",
"state": "WI",
"postal_code": "53821",
"telephone_number": "608-326-2511",
"fax_number": "608-326-2167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBER CHIROPRACTIC CLINIC SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2011-03-16",
"status": "A",
"authorized_official_last_name": "WEBER",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "608-326-2511",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "3386-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38896800",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350038301",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prairie Du Chien, WI
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0882)
- Wal-Mart Stores East, LP (Vision Center 30-0882)
- Walgreen Co (Walgreens #10682)
- Gloria Agnes Wall, RN
- Crystal G Wallin, RN
- Alan John Weber, D.C.
- Welter Family Dentistry, Inc.
- Beth R Welter, D.D.S.
- Brandon Douglas Westholm
- John J. Weyrough, M.S.S.W, L.C.S.W
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; 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.