Individual provider Active NPI

Ronald A Wedemeyer, D.C.

  • Chiropractor
  • Taos, NM
National Provider Identifier
1982629150
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2203 Issued in NM
Practice address
118 Camino de la Placita Ste C
Taos, NM 87571-6079
Phone
(575) 741-1888
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC21162 CA
Chiropractor 111N00000X DC2203 NM Primary

Addresses

Primary practice location

118 Camino de la Placita Ste C
Taos, NM 87571-6079

Mailing address

PO Box 469
Taos, NM 87571-0469
Phone (575) 741-1888

Other practice location 1

7800 Meany Ave
Suite B
Bakersfield, CA 93308-5005
Phone (661) 679-7902

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

LicenseStateTypeSpecialty
DC21162CAMDChiropractor
DC2203NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Wedemeyer Professional Chiropractic Corporation Chiropractor CurrentSince Nov 15, 2009 Accepting new patients
Ronald Wedemeyer Chiropractic Corporation Chiropractor CurrentSince Sep 29, 2019 Accepting new patients

Locations

7800 Meany Ave
Ste B
Bakersfield, CA 93308
Phone (661) 679-7902

118 Camino de la Placita
Ste C
Taos, NM 87571
Phone (575) 741-1888

Organizations & group practices 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1982629150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875710469",
            "telephone_number": "575-741-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CAMINO DE LA PLACITA STE C",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716079",
            "telephone_number": "575-741-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Meany Ave",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933085005",
            "country_code": "US",
            "telephone_number": "661-679-7902",
            "fax_number": "661-679-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEDEMEYER",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21162",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "DC2203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; 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.