Active NPI
Andrea Lyn Heermance, D.C.
- Chiropractor
- Fullerton, CA
National Provider Identifier
1164532636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29397
- Practice address
- 4128 W Commonwealth Ave
Suite 101
Fullerton, CA 92833-2565 - Phone
- (714) 525-0300
- Fax
- (714) 525-3536
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC29397 | CA | Primary |
Addresses
Primary practice location
4128 W Commonwealth Ave
Suite 101
Fullerton, CA 92833-2565
Mailing address
4128 W Commonwealth Ave
Suite 101
Fullerton, CA 92833-2565
Phone (714) 525-0300
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC29397 | CA | MD | Chiropractor |
| 29397 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heermance Family Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Joseph Kim Chiropractic & Acupuncture Clinic Inc. | Past | 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.
-
- Chiropractor
- Fullerton, CA
- NPI 1003169368
-
- Corporate Health Clinic/Center
- Fullerton, CA
- NPI 1801288758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1164532636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4128 W COMMONWEALTH AVE",
"address_2": "SUITE 101",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928332565",
"telephone_number": "714-525-0300",
"fax_number": "714-525-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4128 W COMMONWEALTH AVE",
"address_2": "SUITE 101",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928332565",
"telephone_number": "714-525-0300",
"fax_number": "714-525-3536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEERMANCE",
"first_name": "ANDREA",
"middle_name": "LYN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.