Individual provider Active NPI

Jeffery David Wieging, D.C

  • Chiropractor
  • Grove City, OH
National Provider Identifier
1922185495
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2706 Issued in OH
Practice address
3435 Farm Bank Way
Grove City, OH 43123-1974
Phone
(614) 539-0405
Fax
(614) 539-0554
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2706 OH Primary

Addresses

Primary practice location

3435 Farm Bank Way
Grove City, OH 43123-1974

Mailing address

3435 Farm Bank Way
Grove City, OH 43123-1974
Phone (614) 539-0405

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000516 OH Practitioner - Chiropractic 4486710480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Wieging Physical Medicine LLCGroup PAC ID 0749546604, 4 clinicians

Practice addresses (Care Compare)

3435 Farm Bank Way
Grove City, OH 43123-1974
Phone (614) 539-0405

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2706OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wieging Physical Medicine LLC Chiropractor CurrentSince Oct 1, 2017 Accepting new patients
Courthouse Family Chiropractic, LLC Chiropractor PastSince Feb 1, 2011 Accepting new patients
Granger Chiropractic and Family Medicine, Inc. Chiropractor Past Accepting new patients

Locations

3435 Farm Bank Way
Grove City, OH 43123
Phone (614) 539-0405

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1922185495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 FARM BANK WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231974",
            "telephone_number": "614-539-0405",
            "fax_number": "614-539-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 FARM BANK WAY",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431231974",
            "telephone_number": "614-539-0405",
            "fax_number": "614-539-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEGING",
        "first_name": "JEFFERY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.