Individual provider Active NPI

Adam J Heidingsfelder, D.C.

  • Chiropractor
  • Long Beach, MS
National Provider Identifier
1093952822
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1141 Issued in MS
Practice address
19009 Pineville Rd
Long Beach, MS 39560-4540
Phone
(228) 864-9200
Fax
(228) 864-9222
NPI assigned
Jan 15, 2009
Last updated
Aug 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1141 MS Primary

Addresses

Primary practice location

19009 Pineville Rd
Long Beach, MS 39560-4540

Mailing address

19009 Pineville Rd
Long Beach, MS 39560-4540
Phone (228) 864-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000325 MS Practitioner - Chiropractic 5496805095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19009 Pineville Rd
Long Beach, MS 39560-4540
Phone (228) 864-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Inc Chiropractor CurrentSince Feb 14, 2015 Accepting new patients

Locations

19009 Pineville Rd
Long Beach, MS 39560
Phone (228) 864-9200

Networks

  • LA PPO C-SNP

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1093952822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19009 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604540",
            "telephone_number": "228-864-9200",
            "fax_number": "228-864-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19009 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604540",
            "telephone_number": "228-864-9200",
            "fax_number": "228-864-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDINGSFELDER",
        "first_name": "ADAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.