509 Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

60789723 Issued in WA

Legal business name

509 CHIROPRACTIC LLC

Doing business as

HealthSource Chiropractic of Pasco

Practice address

1211 N 20TH Ave
Pasco, WA 99301-4051

Phone

(509) 547-1759

NPI assigned

Oct 31, 2017

Last updated

Oct 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathon Merrell Heslop, D.C.NPI 1851800593

Title

Chiropractor

Phone

(509) 346-5822

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• HealthSource Chiropractic of Pasco Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

509 Chiropractic LLC2 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.

• 509 Chiropractic LLC

  dba HealthSource Chiropractic of Pasco

  • Chiropractor
  • Pasco, WA
  • NPI 1487296547
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: jheslop@healthsourcechiro.com

Practitioners 1

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.

• Jonathon Merrell Heslop, DC

  • Chiropractor
  • Pasco, WA
  • NPI 1851800593
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1093227977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 N 20TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014051",
            "telephone_number": "509-547-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 N 20TH AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993014051",
            "telephone_number": "509-547-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "509 CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "HESLOP",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "MERRELL",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "509-346-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "60789723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI NUMBER",
            "identifier": "0403568",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "60789723",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jheslop@healthsourcechiro.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1211 N 20th Ave",
            "city": "Pasco",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993014051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "HealthSource Chiropractic of Pasco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 14TH Avenue Pharmacy Inc (14TH Avenue Community First Pharmacy)
• 14TH Avenue Pharmacy Inc.
• 14TH Avenue Pharmacy Inc.
• 509 Chiropractic LLC (HealthSource Chiropractic of Pasco)
• A Plus Interpreters
• Melissa Abel, RN
• Accident Care Chiropractic and Massage of Pasco, PC
• Accident Chiropractic of Pasco (Accident Chiropractic)

• Chiropractor in Pasco, WA
• Providers in Pasco, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.