Organization Active NPI

Midlothian Family Chiropractic Center

  • Chiropractor
  • Midlothian, VA
National Provider Identifier
1104467711
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MIDLOTHIAN FAMILY CHIROPRACTIC CENTER
Practice address
1500 Huguenot Rd Ste 101
Midlothian, VA 23113-2478
Phone
(804) 608-3045
Fax
(804) 767-3565
NPI assigned
Oct 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Dr. Ryan M Heid, DCNPI 1306968557
Title
Owner/Chiropractor
Phone
(804) 608-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1500 Huguenot Rd Ste 101
Midlothian, VA 23113-2478

Mailing address

2737 Bayfront Way
Midlothian, VA 23112-4551
Phone (804) 399-9288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200106001616 VA Part B Supplier - Clinic/Group Practice 9739513409 Receives reassigned benefits from 2 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

1500 Huguenot Rd
Ste 101
Midlothian, VA 23113
Phone (804) 608-3045

1500 Huguenot Rd
Midlothian, VA 23113
Phone (804) 608-3045

13356 Midlothian Tpke
Ste 104
Midlothian, VA 23113
Phone (804) 399-9288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1104467711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 BAYFRONT WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124551",
            "telephone_number": "804-399-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HUGUENOT RD STE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132478",
            "telephone_number": "804-608-3045",
            "fax_number": "804-767-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLOTHIAN FAMILY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "HEID",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "804-608-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.