Individual provider Active NPI

Ricardo Heinis, DC

  • Chiropractor
  • Dalton, GA
National Provider Identifier
1225705106
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6216 Issued in GA
Practice address
1513 W Walnut Ave Ste 3
Dalton, GA 30720-3869
Phone
(706) 229-3993
NPI assigned
Aug 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6216 GA Primary

Addresses

Primary practice location

1513 W Walnut Ave Ste 3
Dalton, GA 30720-3869

Mailing address

1513 W Walnut Ave Ste 3
Dalton, GA 30720-3869
Phone (706) 229-3993

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

LicenseStateTypeSpecialty
6216GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Johnson Clinic of Chiropractic P.C. PastSince Jul 2, 2013 Accepting new patients

Organizations & group practices 1

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1225705106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 W WALNUT AVE STE 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203869",
            "telephone_number": "706-229-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 W WALNUT AVE STE 3",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307203869",
            "telephone_number": "706-229-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINIS",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "6216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.