Individual provider Active NPI

Neal Wieder, D.C.

  • Chiropractor
  • Lake Mary, FL
National Provider Identifier
1992806392
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH3063 Issued in FL
Practice address
1045 Primera Blvd Ste 1017
Lake Mary, FL 32746-2178
Phone
(407) 682-4454
Fax
(407) 682-3805
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X CH3063 FL
Independent Medical Examiner Physician 202C00000X CH3063 FL
Chiropractor 111N00000X CH3063 FL Primary

Addresses

Primary practice location

1045 Primera Blvd Ste 1017
Lake Mary, FL 32746-2178

Mailing address

1045 Primera Blvd Ste 1017
Lake Mary, FL 32746-2178
Phone (407) 682-4454

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
CH3063FLMDIndependent Medical Examiner Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Chiropractic & Natural Health, Inc Chiropractor Past Accepting new patients
Sheila L Scott, Ap Past Accepting new patients

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1992806392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 PRIMERA BLVD STE 1017",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462178",
            "telephone_number": "407-682-4454",
            "fax_number": "407-682-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 PRIMERA BLVD STE 1017",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462178",
            "telephone_number": "407-682-4454",
            "fax_number": "407-682-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIEDER",
        "first_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "FL",
            "license": "CH3063",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "FL",
            "license": "CH3063",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.