Individual provider Active NPI

Craig E Heller, D.C.

  • Chiropractor
  • Vista, CA
National Provider Identifier
1205933199
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24815 Issued in CA
Practice address
115 Main St
Vista, CA 92084-6007
Phone
(760) 726-9660
Fax
(760) 726-8865
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC24815 CA Primary

Addresses

Primary practice location

115 Main St
Vista, CA 92084-6007

Mailing address

PO Box 39
Vista, CA 92085-0039
Phone (760) 726-9660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000537 CA Practitioner - Chiropractic 9830275767 Practice locations: Vista, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24815CAMDAddiction (Substance Use Disorder) Counselor
DC24815CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanside Physical Therapy P C Past Accepting new patients
Vista Physical Therapy and Rehab PC PastSince Jan 5, 2015 Accepting new patients

Networks

  • UT PPO
  • UT PPO D-SNP

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1205933199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920850039",
            "telephone_number": "760-726-9660",
            "fax_number": "760-726-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MAIN ST",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846007",
            "telephone_number": "760-726-9660",
            "fax_number": "760-726-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "CRAIG",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.

Verify at the official NPI Registry.