Organization Active NPI

Weiss Family Chiropractic Ctr

  • Chiropractor
  • Wellington, FL
National Provider Identifier
1942251970
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5181 Issued in FL
Legal business name
WEISS FAMILY CHIROPRACTIC CTR
Practice address
11924 W Forest Hill Blvd
Ste 13
Wellington, FL 33414
Phone
(561) 753-6077
Fax
(561) 753-6095
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Cetty M Weiss, DCNPI 1578530200
Title
Owner
Phone
(561) 753-6077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5181 FL Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5180 FL

Addresses

Primary practice location

11924 W Forest Hill Blvd
Ste 13
Wellington, FL 33414

Mailing address

11924 W Forest Hill Blvd
Ste 13
Wellington, FL 33414
Phone (561) 753-6077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121025000551 FL Part B Supplier - Clinic/Group Practice 0446400501 Receives reassigned benefits from 3 practitioners
Practice locations: Wellington, FL

National Provider Directory

National Provider Directory

Locations

4343 10th Ave N
Palm Springs, FL 33461
Phone (561) 753-6077

12008 South Shore Blvd
Ste 107
Wellington, FL 33414
Phone (561) 753-6077

11924 Forest Hill Blvd
Ste 13
Wellington, FL 33414
Phone (561) 753-6077

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1942251970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 W FOREST HILL BLVD",
            "address_2": "STE 13",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-753-6077",
            "fax_number": "561-753-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11924 W FOREST HILL BLVD",
            "address_2": "STE 13",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "33414",
            "telephone_number": "561-753-6077",
            "fax_number": "561-753-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS FAMILY CHIROPRACTIC CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "CETTY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-753-6077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "5181",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "5180",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.

Verify at the official NPI Registry.