Weaver Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC10695

Legal business name

WEAVER CHIROPRACTIC INC

Practice address

3051 Victor Avenue
Redding, CA 96002

Phone

(530) 223-0583

Fax

(530) 223-6316

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cynthia Lynn Menez

Title

Office Manager

Phone

(530) 223-0583

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Enterprise Back Care Former legal business name

Locations

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1922280791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 VICTOR AVENUE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96002",
            "telephone_number": "530-223-0583",
            "fax_number": "530-223-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 VICTOR AVENUE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "96002",
            "telephone_number": "530-223-0583",
            "fax_number": "530-223-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEAVER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "MENEZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-223-0583",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": "DC10695",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "411541944369",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10973137",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enterprise Back Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Maxine Lorraine Wayda
• Maria Norma Wayman, MA
• Wayshower LLC
• Waytogo
• Stephen Louis Weathersbee, LMFT
• Erin Weaver, ACSW
• Jack David Weaver, DC
• Sandra Kay Webb, CADC-CAS
• Summer Webb, MSW
• Haley Marie Weber, LMFT

• Chiropractor in Redding, CA
• Providers in Redding, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.