DR. GARY MARK WIEDEMAN DC
NPI 1205855509
Chiropractor in Greeley, CO

Q: What is Gary Wiedeman's NPI number?

The NPI number for Gary Wiedeman is 1205855509. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Gary Wiedeman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Wiedeman was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2006

2716 23RD AVE, GREELEY, CO 80634(970) 353-5300(970) 353-5332 Get Directions Write a Review

NPPES record last updated: July 9, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Gary Mark Wiedeman Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GARY MARK WIEDEMAN DC (NPI 1205855509) is an individual chiropractor in Greeley, Colorado, licensed in Colorado (1689) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1205855509

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. GARY MARK WIEDEMANCredential: DC

Location Address2716 23RD AVEGreeley, CO 80634-6920

Mailing Address2716 23rd AveGreeley, CO 80634-6920 · (970) 353-5300 · Fax (970) 353-5332

Phone(970) 353-5300

Fax(970) 353-5332

Sole ProprietorYes

Enumeration DateJuly 18, 2006

Last NPPES UpdateJuly 9, 2012

✔ NPI 1205855509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CO · 1689

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2716 23RD AVE, Greeley, CO 80634

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Other Identifiers 2

Medicare PINC542838CO

Medicare UPINU05797CO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Wiedeman's NPI number?

The NPI number for Gary Wiedeman is 1205855509. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Gary Wiedeman located?

Gary Wiedeman practices at 2716 23rd Ave, Greeley, CO 80634. The listed phone number is (970) 353-5300.

What is Gary Wiedeman's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Gary Wiedeman was last updated on July 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.