DR. JACKIE LYNN WEAVER DC, PHARM D
NPI 1720072523
Chiropractor in Tyler, TX

NPI Status: Active since September 07, 2005

Contact Information

2726 W GENTRY PKWY
TYLER, TX
ZIP 75702
Phone: (903) 593-2533
Fax: (903) 593-2555

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  • Individual
  • Male
  • Chiropractor

About JACKIE WEAVER

This page provides the complete NPI Profile along with additional information for Jackie Weaver, a provider established in Tyler, Texas with a medical specialization in Chiropractor. The healthcare provider is registered in the NPI registry with number 1720072523 assigned on September 2005. The practitioner's primary taxonomy code is 111N00000X with license number 6129 DC (TX). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1720072523
Provider Name
DR. JACKIE LYNN WEAVER DC, PHARM D
Gender
Male
Entity Type
Individual
Location Address
2726 W GENTRY PKWY TYLER, TX 75702
Location Phone
(903) 593-2533
Location Fax
(903) 593-2555
Mailing Address
2726 W GENTRY PKWY TYLER, TX 75702
Mailing Phone
(903) 593-2533
Mailing Fax
(903) 593-2555
Is Sole Proprietor?
Yes
Enumeration Date
09-07-2005
Last Update Date
01-19-2017
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A chiropractor like Jackie Weaver helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
License No.
6129 DC
License State
TX
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1183500000XPharmacy Service Providers

Pharmacist

48560 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U638368MEDICARE UPIN (02) 
8K1680OTHER (01)BLUE CROSS
C06037715MEDICARE ID-TYPE UNSPECIFIED (04)TX 
001665101MEDICAID (05)TX 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720072523
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274007454
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 7 + 4 + 5 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1720072523 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033109053WOODY WEAVER PHARMACY INC
Organization
Pharmacy (Community/Retail Pharmacy)2726 W GENTRY PKWY
TYLER, TX 75702
(903) 593-2533

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720072523, enumerated in the NPI registry as an "individual" on September 07, 2005

The provider is located at 2726 W Gentry Pkwy Tyler, Tx 75702 and the phone number is (903) 593-2533

The provider's speciality is Chiropractor with taxonomy code 111N00000X

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 07, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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