Robert David Weilert, DC
Individual provider Active NPI Chiropractor · Humboldt, KS
NPI 1982719084 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982719084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 01-04911 (KS)
- Practice address
- 606 Bridge St
Humboldt, KS 66748 - Phone
- (620) 473-3212
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Weilert Chiropractic Clinic LLC
Practice addresses (Care Compare)
606 Bridge St
Humboldt, KS 66748-1733
Phone (620) 473-3212
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050407000409 | KS | Practitioner - Chiropractic | 9830146208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-04911 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weilert Chiropractic Clinic LLC | Chiropractor | Current |
Accepting new patients |
Locations
606 Bridge St
Humboldt, KS 66748
Phone (316) 473-3212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-04911 | KS | Yes |
Addresses
Primary practice location
606 Bridge St
Humboldt, KS 66748
Mailing address
606 Bridge St
Humboldt, KS 66748
Phone (620) 473-3212
Other providers in Humboldt, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.