JERRY THOMAS WEIDER JR. D.C.
NPI 1700967445
Chiropractor in Seattle, WA

Q: What is Jerry Weider's NPI number?

The NPI number for Jerry Weider is 1700967445. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Jerry Weider'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 Jerry Weider was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 18, 2006

5429 RUSSELL AVE NW STE 300, SEATTLE, WA 98107(206) 783-6000(206) 783-6006 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jerry Thomas Weider Jr. D.c. NPPES

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

JERRY THOMAS WEIDER JR. D.C. (NPI 1700967445) is an individual chiropractor in Seattle, Washington, licensed in Washington (CH00003210) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1700967445

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJERRY THOMAS WEIDER JR.Credential: D.C.

Location Address5429 RUSSELL AVE NW STE 300Seattle, WA 98107-4010

Mailing Address5429 Russell Ave Nw Ste 300Seattle, WA 98107-4010 · (206) 783-6000 · Fax (206) 783-6006

Phone(206) 783-6000

Fax(206) 783-6006

Sole ProprietorNo

Enumeration DateOctober 18, 2006

Last NPPES UpdateFebruary 8, 2023

NPPES CertifiedFebruary 8, 2023

✔ NPI 1700967445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH00003210

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.

5429 RUSSELL AVE NW STE 300, Seattle, WA 98107

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Other Identifiers 1

Medicaid2020592WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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