Heller Chiropractic, S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3043-012 Issued in WI

Legal business name

HELLER CHIROPRACTIC, S.C.

Doing business as

Heller Chiropractic Clinic

Practice address

517 Caldwell Ave
Oconto Falls, WI 54154-1139

Phone

(920) 846-3778

Fax

(920) 846-3877

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Fred Dana Heller, D.C.NPI 1164520623

Title

President

Phone

(920) 846-3778

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heller Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred Dana Heller, D.C.

  • Chiropractor
  • Oconto Falls, WI
  • NPI 1164520623
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1063510519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CALDWELL AVE",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541139",
            "telephone_number": "920-846-3778",
            "fax_number": "920-846-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CALDWELL AVE",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541139",
            "telephone_number": "920-846-3778",
            "fax_number": "920-846-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLER CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "DANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-846-3778",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3043-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38904000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heller Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwidt Pharmacy Inc
• Gwidt Pharmacy Inc
• Suzanne B Haines, NP
• Katie Halverson
• Carla Jean Hedtke, B.S.,M.S.
• Fred Dana Heller, D.C.
• Heyde Health System Oconto Falls LLC
• Kevin G Hibbett, M.D.
• Hockman & Associates LLC
• Justin Alan Howe, PT

• Chiropractor in Oconto Falls, WI
• Providers in Oconto Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.