Individual provider Active NPI

Lawrence E Heffron, D.C.

  • Chiropractor
  • Centerville, IA
National Provider Identifier
1003880253
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05005 Issued in IA
Practice address
116 E Jackson St
Centerville, IA 52544-1708
Phone
(641) 437-4278
Fax
(641) 856-5747
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 05005 IA Primary

Addresses

Primary practice location

116 E Jackson St
Centerville, IA 52544-1708

Mailing address

116 E Jackson St
Centerville, IA 52544-1708
Phone (641) 437-4278

Other identifiers 1

IdentifierTypeStateIssuer
0213025MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100119000773 IA Practitioner - Chiropractic 7214079979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

116 E Jackson St
Centerville, IA 52544-1708
Phone (641) 437-4278

Merit-based Incentive Payment System (MIPS)

Final score
24.34 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05005IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Heffron Chiropractic Clinic PLC Chiropractor CurrentSince Jan 1, 2003 Accepting new patients

Locations

116 E Jackson St
Centerville, IA 52544
Phone (515) 437-4278

Networks

  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations & group practices 1

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1003880253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E JACKSON ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441708",
            "telephone_number": "641-437-4278",
            "fax_number": "641-856-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E JACKSON ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441708",
            "telephone_number": "641-437-4278",
            "fax_number": "641-856-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFRON",
        "first_name": "LAWRENCE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "05005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213025",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.