Active NPI
Robert L Wiedemann, D.C.
- Chiropractor
- Kalispell, MT
National Provider Identifier
1962598466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 337CHI
- Practice address
- 1325 Hwy 2 W
Suite a
Kalispell, MT 59901 - Phone
- (406) 752-2225
- Fax
- (406) 752-2332
- NPI assigned
- Oct 4, 2006
- Last updated
- Dec 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 337CHI | MT | Primary |
Addresses
Primary practice location
1325 Hwy 2 W
Suite a
Kalispell, MT 59901
Mailing address
1325 Hwy 2 W
Suite a
Kalispell, MT 59901
Phone (406) 752-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 337CHI | MT | MD | Chiropractor |
| 337 | MT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractit Relief & Wellness Center, Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Kalispell, MT
- NPI 1942375563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1962598466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 HWY 2 W",
"address_2": "SUITE A",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-752-2225",
"fax_number": "406-752-2332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 HWY 2 W",
"address_2": "SUITE A",
"city": "KALISPELL",
"state": "MT",
"postal_code": "59901",
"telephone_number": "406-752-2225",
"fax_number": "406-752-2332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEDEMANN",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "337CHI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.