Individual provider Active NPI

Trevor John Heid, D.C.

  • Chiropractor
  • Surprise, AZ
National Provider Identifier
1083944300
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8117 Issued in AZ
Practice address
16944 W Bell Rd
Suite 602
Surprise, AZ 85374-8950
Phone
(623) 505-7226
Fax
(623) 518-2679
NPI assigned
Jan 8, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8117 AZ Primary

Addresses

Primary practice location

16944 W Bell Rd
Suite 602
Surprise, AZ 85374-8950

Mailing address

16944 W Bell Rd
Suite 602
Surprise, AZ 85374-8950
Phone (623) 505-7226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8117AZMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1083944300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16944 W BELL RD",
            "address_2": "SUITE 602",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748950",
            "telephone_number": "623-505-7226",
            "fax_number": "623-518-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16944 W BELL RD",
            "address_2": "SUITE 602",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748950",
            "telephone_number": "623-505-7226",
            "fax_number": "623-518-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEID",
        "first_name": "TREVOR",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.