Theodore Stanford Heggen V, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007599 Issued in IA

Practice address

4949 Pleasant St
Suite 101
West Des Moines, IA 50266-1741

Phone

(515) 306-6852

NPI assigned

Sep 4, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heggen Chiropractic, PLLC

  • Chiropractor
  • West Des Moines, IA
  • NPI 1710320924
  NPD (past) Authorized official

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365120000000",
    "number": "1093064255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST",
            "address_2": "SUITE 101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661741",
            "telephone_number": "515-306-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 PLEASANT ST",
            "address_2": "SUITE 101",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661741",
            "telephone_number": "515-306-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGGEN",
        "first_name": "THEODORE",
        "middle_name": "STANFORD",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-04",
        "last_updated": "2013-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007599",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12118",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Podiatry
• Alissa Marie Heasley, LISW
• Kaitlyn Hecksel
• Whitney Hedrick, MOT, OTR/L
• Heggen Chiropractic, PLLC
• Sarah Heideman
• Molly Heiden, PHYSICIAN ASSISTANT
• Heidi M. Goepp, D.D.S PLC
• Heidi Valdez, Lisw, LLC. Dba Mindful Counseling DSM
• Dawna Heil, LEMHC

• Chiropractor in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.