Organization Active NPI

Heights Chiropractic Physicians, LLC

  • Chiropractor
  • Huber Heights, OH
National Provider Identifier
1013932961
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2449 Issued in OH
Legal business name
HEIGHTS CHIROPRACTIC PHYSICIANS, LLC
Practice address
7480 Old Troy Pike
Huber Heights, OH 45424-2663
Phone
(937) 235-2225
Fax
(937) 237-9973
NPI assigned
Jul 13, 2006
Last updated
Jan 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Carol A Simcox
Title
Office Manager
Phone
(937) 235-2225

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3496 OH
Chiropractor 111N00000X 2449 OH Primary
Orthopedic Chiropractor 111NX0800X 731 OH

Addresses

Primary practice location

7480 Old Troy Pike
Huber Heights, OH 45424-2663

Mailing address

7480 Old Troy Pike
Huber Heights, OH 45424-2663
Phone (937) 235-2225

Other identifiers 3

IdentifierTypeStateIssuer
2461518MedicaidOH
433892MedicaidOH
2011852MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050924000282 OH Part B Supplier - Clinic/Group Practice 9537193909 Receives reassigned benefits from 4 practitioners
Practice locations: Huber Heights, OH

National Provider Directory

National Provider Directory

Locations

7480 Troy Pike
Huber Heights, OH 45424
Phone (937) 235-2225

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1013932961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242663",
            "telephone_number": "937-235-2225",
            "fax_number": "937-237-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 OLD TROY PIKE",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454242663",
            "telephone_number": "937-235-2225",
            "fax_number": "937-237-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS CHIROPRACTIC PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SIMCOX",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "937-235-2225"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3496",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2449",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OH",
            "license": "731",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2461518",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433892",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.