Active NPI
Christopher Westphal Weidler, D.C.
- Chiropractor
- Port Jefferson, NY
National Provider Identifier
1962681296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 011434-1
- Practice address
- 62 Pinnacle Dr
Port Jefferson, NY 11777-2086 - Phone
- (631) 512-8226
- NPI assigned
- Nov 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 011434-1 | NY | Primary |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X |
Addresses
Primary practice location
62 Pinnacle Dr
Port Jefferson, NY 11777-2086
Mailing address
62 Pinnacle Dr
Port Jefferson, NY 11777-2086
Phone (631) 512-8226
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011434-1 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366675200000",
"number": "1962681296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 PINNACLE DR",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772086",
"telephone_number": "631-512-8226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 PINNACLE DR",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772086",
"telephone_number": "631-512-8226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIDLER",
"first_name": "CHRISTOPHER",
"middle_name": "WESTPHAL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-02",
"last_updated": "2013-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "011434-1",
"primary": true
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Jefferson, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.