Individual provider Active NPI

Chad Edward Weinzetl, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1912185554
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10816 Issued in TX
Practice address
10588 Stone Canyon Rd
238
Dallas, TX 75230-4489
Phone
(214) 728-3371
NPI assigned
Feb 6, 2008
Last updated
Feb 6, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10816 TX Primary

Addresses

Primary practice location

10588 Stone Canyon Rd
238
Dallas, TX 75230-4489

Mailing address

10588 Stone Canyon Rd
238
Dallas, TX 75230-4489
Phone (214) 728-3371

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090120000251 TX Practitioner - Chiropractic 7416010335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifestyle Wellness Center PCGroup PAC ID 6002979010, 3 clinicians

Practice addresses (Care Compare)

4140 Legacy Dr
Plano, TX 75024-3494
Phone (469) 241-9665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Wellness Center PC Chiropractor CurrentSince Oct 8, 2008 Accepting new patients

Locations

4140 Legacy Dr
Ste 324
Plano, TX 75024
Phone (469) 241-9665

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1912185554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10588 STONE CANYON RD",
            "address_2": "238",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304489",
            "telephone_number": "214-728-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10588 STONE CANYON RD",
            "address_2": "238",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304489",
            "telephone_number": "214-728-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINZETL",
        "first_name": "CHAD",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.