Organization Active NPI

Heimensen Family Chiropractic Ctr

  • Chiropractor
  • Orange City, IA
National Provider Identifier
1093806937
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05618 Issued in IA
Legal business name
HEIMENSEN FAMILY CHIROPRACTIC CTR
Practice address
111 Arizona Ave NW
Orange City, IA 51041-1425
Phone
(712) 737-3850
Fax
(712) 737-3859
NPI assigned
Sep 27, 2006
Last updated
Aug 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Dr. Jeffery D Heimensen, DC
Title
Owner Chiropractor
Phone
(712) 737-3850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05618 IA Primary

Addresses

Primary practice location

111 Arizona Ave NW
Orange City, IA 51041-1425

Mailing address

111 Arizona Ave NW
Orange City, IA 51041-1425
Phone (712) 737-3850

Other identifiers 4

IdentifierTypeStateIssuer
4642OtherIAMIDLANDS CHOICE
54891OtherIAWELLMARK BCBS
34805OtherIASIOUX VALLEY HEALTH
0143776MedicaidIA

Other names 1

  • Chiropractic Associates of Siouxland Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1093806937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ARIZONA AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411425",
            "telephone_number": "712-737-3850",
            "fax_number": "712-737-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ARIZONA AVE NW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411425",
            "telephone_number": "712-737-3850",
            "fax_number": "712-737-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIMENSEN FAMILY CHIROPRACTIC CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "HEIMENSEN",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER CHIROPRACTOR",
        "authorized_official_telephone_number": "712-737-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "4642",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "54891",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH",
            "identifier": "34805",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143776",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Associates of Siouxland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orange City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; 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.