Individual provider Active NPI

Travis Dean Heckes, DC

  • Chiropractor
  • Overland Park, KS
National Provider Identifier
1154424760
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4921 Issued in KS
Practice address
9256 Metcalf Ave
Overland Park, KS 66212-1478
Phone
(913) 341-4325
Fax
(913) 341-8400
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4921 KS Primary

Addresses

Primary practice location

9256 Metcalf Ave
Overland Park, KS 66212-1478

Mailing address

9256 Metcalf Ave
Overland Park, KS 66212-1478
Phone (913) 341-4325

Other identifiers 1

IdentifierTypeStateIssuer
P00225986OtherKSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4921KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Anders Chiropractic Inc. Chiropractor Past Accepting new patients
Eastern Kansas Chiropractic LLC Chiropractor PastSince Feb 6, 2009 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1154424760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121478",
            "telephone_number": "913-341-4325",
            "fax_number": "913-341-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 METCALF AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121478",
            "telephone_number": "913-341-4325",
            "fax_number": "913-341-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKES",
        "first_name": "TRAVIS",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "4921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00225986",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.