Active NPI
David Heaney, M.D., Inc.
- Nephrology Physician
- Tulare, CA
National Provider Identifier
1013123686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 00A301420
- Legal business name
- DAVID HEANEY, M.D., INC.
- Practice address
- 1070 N Cherry St
Tulare, CA 93274-2251 - Phone
- (559) 733-9707
- NPI assigned
- May 14, 2007
- Last updated
- Oct 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl Brooksher
- Title
- Bod: Secretary - Administrator
- Phone
- (559) 733-9707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 00A301420 | CA | Primary |
Addresses
Primary practice location
1070 N Cherry St
Tulare, CA 93274-2251
Mailing address
1120 N Chinowth St
Visalia, CA 93291-7896
Phone (559) 733-9707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A301420 | Medicaid | CA | |
| 1013902733 | Other | CA | NPPES-PRACTICING DR'S NPI |
National Provider Directory
National Provider Directory- Tax ID family
- David Heaney MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nephrology Physician
- Porterville, CA
- NPI 1972710127
Locations
1120 N Chinowth St
Visalia, CA 93291
Phone (559) 622-9844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193097600000",
"number": "1013123686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 N CHINOWTH ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932917896",
"telephone_number": "559-733-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 N CHERRY ST",
"city": "TULARE",
"state": "CA",
"postal_code": "932742251",
"telephone_number": "559-733-9707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID HEANEY, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2007-10-23",
"status": "A",
"authorized_official_last_name": "BROOKSHER",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "BOD: SECRETARY - ADMINISTRATOR",
"authorized_official_telephone_number": "559-733-9707"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "00A301420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A301420",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES-PRACTICING DR'S NPI",
"identifier": "1013902733",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulare, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.