Heartland Healthcenter DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HEARTLAND HEALTHCENTER DC PC

Practice address

11104 Veterans Memorial Pkwy
Lake St Louis, MO 63367-1113

Phone

(636) 625-6000

Fax

(636) 625-6008

NPI assigned

Feb 10, 2007

Last updated

Aug 22, 2007By 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. David V Beavers, D.C.NPI 1770624827

Title

Owner

Phone

(636) 625-6000

Specialties & licenses 1

Addresses

Locations

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.

• David V Beavers, D.C.

  • Chiropractor
  • Lake St Louis, MO
  • NPI 1770624827
  Authorized official Same address or phone

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1114068269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671113",
            "telephone_number": "636-625-6000",
            "fax_number": "636-625-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671113",
            "telephone_number": "636-625-6000",
            "fax_number": "636-625-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HEALTHCENTER DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-625-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Harbaugh, M.S.CCC-SLP
• Joshua Harkless, MD
• Neely Taylor Rose Harris, MD
• Brady Hartman, DDS
• Charles Robert Hartman Jr., DO
• Jodie A Hemmer, OTR/L
• Charity Joy Hendrickson, PT
• Rachel Lynn Hensley, PHARM.D.
• Victoria Lynn Hines, NP
• Hinton Healthcare Group

• Chiropractor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.