Fred Dana Heller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3043-012 Issued in WI

Practice address

517 Caldwell Ave
Oconto Falls, WI 54154-1139

Phone

(920) 846-3778

Fax

(920) 846-3877

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Heller Chiropractic, S.C.

  • Chiropractor
  • Oconto Falls, WI
  • NPI 1063510519
  Medicare reassignment NPD Authorized official
• Walworth County Chiropractic

  • Chiropractor
  • Delavan, WI
  • NPI 1548598352
  NPD (past) Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1164520623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CALDWELL AVE",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541139",
            "telephone_number": "920-846-3778",
            "fax_number": "920-846-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CALDWELL AVE",
            "city": "OCONTO FALLS",
            "state": "WI",
            "postal_code": "541541139",
            "telephone_number": "920-846-3778",
            "fax_number": "920-846-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "FRED",
        "middle_name": "DANA",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3043-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38904000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwidt Pharmacy Inc
• Suzanne B Haines, NP
• Katie Halverson
• Carla Jean Hedtke, B.S.,M.S.
• Heller Chiropractic, S.C.
• Heyde Health System Oconto Falls LLC
• Kevin G Hibbett, M.D.
• Hockman & Associates LLC
• Justin Alan Howe, PT
• Abby Huntley, PHD, LPC, NCC

• Chiropractor in Oconto Falls, WI
• Providers in Oconto Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.