Individual provider Active NPI

Matthew Louis Weaklend, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1982705620
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1351 Issued in NE
Practice address
18017 Oak St Ste a
Omaha, NE 68130-6024
Phone
(402) 697-7463
Fax
(402) 892-1056
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1351 NE Primary

Addresses

Primary practice location

18017 Oak St Ste a
Omaha, NE 68130-6024

Mailing address

18017 Oak St Ste a
Omaha, NE 68130-6024
Phone (402) 697-7463

Other identifiers 2

IdentifierTypeStateIssuer
09543OtherNEBLUE CROSS BLUE SHIELD
100252340MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041217000407 NE Practitioner - Chiropractic 7618934944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16909 Lakeside Hills PLZ
Suite 117
Omaha, NE 68130-4652

18017 Oak St
Suite a
Omaha, NE 68130-6024
Phone (402) 697-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1351NEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Chiropractic Specialists Chiropractor CurrentSince Nov 4, 2004 Accepting new patients

Locations

18017 Oak St
Ste A
Omaha, NE 68130
Phone (402) 697-7463

16909 Lakeside Hills Plz
Ste 117
Omaha, NE 68130
Phone (402) 697-7463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1982705620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18017 OAK ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306024",
            "telephone_number": "402-697-7463",
            "fax_number": "402-614-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18017 OAK ST STE A",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681306024",
            "telephone_number": "402-697-7463",
            "fax_number": "402-892-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAKLEND",
        "first_name": "MATTHEW",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09543",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252340",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.