Richard Joseph Heithaus, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

DC-002888-L Issued in PA

Practice address

711 Harrison Ave
Jeannette, PA 15644-1896

Phone

(724) 523-5995

Fax

(724) 523-5995

NPI assigned

Nov 21, 2006

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1255406989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156440768",
            "telephone_number": "724-523-5955",
            "fax_number": "724-523-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HARRISON AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156441896",
            "telephone_number": "724-523-5995",
            "fax_number": "724-523-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITHAUS",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "PA",
            "license": "DC-002888-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049974",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nutrition Chiropractor in Jeannette, PA
• Providers in Jeannette, PA by specialty
• Nutrition Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.