Organization Active NPI

David Heaney, M.D., Inc.

  • Nephrology Physician
  • Tulare, CA
National Provider Identifier
1013123686
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
00A301420 Issued in CA
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, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A301420MedicaidCA
1013902733OtherCANPPES-PRACTICING DR'S NPI

National Provider Directory

National Provider Directory
Tax ID family
David Heaney MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.