Active NPI
Melissa Ann Heinz, D.C.
- Chiropractor
- Alexandria, MN
National Provider Identifier
1164557005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3355
- Practice address
- 1698 N Nokomis St NE
Alexandria, MN 56308-5069 - Phone
- (320) 763-3333
- NPI assigned
- Feb 22, 2007
- 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 | 3355 | MN | Primary |
Addresses
Primary practice location
1698 N Nokomis St NE
Alexandria, MN 56308-5069
Mailing address
1698 N Nokomis St NE
Alexandria, MN 56308-5069
Phone (320) 763-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080115000339 | MN | Practitioner - Chiropractic | 3577644673 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3355 | MN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1164557005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1698 N NOKOMIS ST NE",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085069",
"telephone_number": "320-763-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 N NOKOMIS ST NE",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563085069",
"telephone_number": "320-763-3333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-22",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.