Organization Active NPI

Heavin Chiropractic LLC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1154739183
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000760A Issued in IN
Legal business name
HEAVIN CHIROPRACTIC LLC
Practice address
130 E Epler Ave
Suite C
Indianapolis, IN 46227-1996
Phone
(317) 757-5016
Fax
(317) 757-5276
NPI assigned
Jul 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. J Kent Heavin, DC
Title
President/Owner/Chiropractor
Phone
(317) 757-5016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 08000760A IN Primary

Addresses

Primary practice location

130 E Epler Ave
Suite C
Indianapolis, IN 46227-1996

Mailing address

130 E. Epler Avenue
Suite C
Indianapolis, IN 46227-1987
Phone (317) 757-5016

Other identifiers 1

IdentifierTypeStateIssuer
100140490MedicaidIN

National Provider Directory

National Provider Directory

Locations

130 E Epler Ave
Ste C
Indianapolis, IN 46227
Phone (317) 757-5016

130 E Epler Ave
Southport, IN 46227
Phone (317) 757-5016

NPI Registry JSON

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

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1154739183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E. EPLER AVENUE",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271987",
            "telephone_number": "317-757-5016",
            "fax_number": "317-757-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E EPLER AVE",
            "address_2": "SUITE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271996",
            "telephone_number": "317-757-5016",
            "fax_number": "317-757-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVIN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-22",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "HEAVIN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "317-757-5016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000760A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100140490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.