Widmaier Chiropractic
NPI 1205187689 · Clinic/Center · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Widmaier Chiropractic is a Clinic/Center organization in Phoenix, AZ (NPI 1205187689).
Provider details
- NPI number
- 1205187689
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Randall Widmaier, President(602) 954-6200
- License
- 4220 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-09-26
- Last updated
- 2021-02-18
- Certified
- 2021-02-18
Frequently asked questions
- What is Widmaier Chiropractic's NPI number?
- Widmaier Chiropractic's National Provider Identifier (NPI) is 1205187689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Widmaier Chiropractic?
- Widmaier Chiropractic is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Widmaier Chiropractic located?
- Widmaier Chiropractic's practice location on file with NPPES is 5080 N 40th St Ste 104, Phoenix, AZ 85018-2158.
- What is Widmaier Chiropractic's phone number?
- The practice phone number listed in the NPPES registry for Widmaier Chiropractic is (602) 954-6200.
- Does Widmaier Chiropractic accept Medicare?
- Widmaier Chiropractic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Widmaier Chiropractic?
- The authorized official listed on Widmaier Chiropractic's NPPES record is Randall Widmaier, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Widmaier Chiropractic's NPI active?
- Yes — Widmaier Chiropractic's NPI (1205187689) is active in the NPPES registry as of the last update on 2021-02-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.