NPIMap

Organization Active NPI

Healing Hands Inc

  • Chiropractor
  • Long Beach, MS
National Provider Identifier
1215323282
Registry record updated Apr 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1141 Issued in MS
Legal business name
HEALING HANDS INC
Practice address
19009 Pineville Rd
Long Beach, MS 39560-4540
Phone
(228) 864-9200
Fax
(228) 864-9222
NPI assigned
Apr 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2015

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

Authorized official

Name
Adam Heidingsfelder, D.C.NPI 1093952822
Title
President
Phone
(228) 864-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1141 MS Primary

Addresses

Primary practice location

19009 Pineville Rd
Long Beach, MS 39560-4540

Mailing address

19009 Pineville Rd
Long Beach, MS 39560-4540
Phone (228) 864-9200

Other identifiers 2

IdentifierTypeStateIssuer
03137540MedicaidMS
302I355776OtherMSMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150417000988 MS Part B Supplier - Clinic/Group Practice 5991023210 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, MS

National Provider Directory

National Provider Directory

Locations

19009 Pineville Rd
Long Beach, MS 39560
Phone (228) 864-9200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428364800000",
    "number": "1215323282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19009 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604540",
            "telephone_number": "228-864-9200",
            "fax_number": "228-864-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19009 PINEVILLE RD",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604540",
            "telephone_number": "228-864-9200",
            "fax_number": "228-864-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A",
        "authorized_official_last_name": "HEIDINGSFELDER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-864-9200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03137540",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "302I355776",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.