Individual provider Active NPI

Heather A Cluck, DC

  • Chiropractor
  • Wathena, KS
National Provider Identifier
1255535266
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
K01-04749 Issued in KS
Practice address
324 Saint Joseph St
Wathena, KS 66090-1280
Phone
(785) 989-4644
Fax
(785) 989-4660
NPI assigned
Jun 13, 2007
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X K01-04749 KS Primary

Addresses

Primary practice location

324 Saint Joseph St
Wathena, KS 66090-1280

Mailing address

PO Box 100
Wathena, KS 66090-0100
Phone (785) 989-4644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040916000462 MO Practitioner - Chiropractic 7214904317 Reassigns benefits to 1 organization
I20050705000179 KS Practitioner - Chiropractic 7214904317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

203 S US Hwy 71
Savannah, MO 64485-1726
Phone (816) 432-2555

324 Saint Joseph St
Wathena, KS 66090-1280
Phone (785) 989-4644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4749KSMDClinical Social Worker
K01-04749KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic, P.a. Chiropractor CurrentSince Apr 1, 2002 Accepting new patients
Chaney Chiropractic LLC Chiropractor CurrentSince Apr 11, 2025 Accepting new patients
Copple Chiropractic LLC Chiropractor PastSince Jan 4, 2016 Accepting new patients
Advanced Chiropractic Services PA Chiropractor PastSince Mar 2, 2010 Accepting new patients
Midwest Chiropractic Services LLC Chiropractor Past Accepting new patients
Activate Your Health Chiropractic Center P.C. Chiropractor PastSince Dec 3, 2015 Accepting new patients

Locations

203 S US Highway 71
Savannah, MO 64485
Phone (816) 432-2555

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1255535266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "WATHENA",
            "state": "KS",
            "postal_code": "660900100",
            "telephone_number": "785-989-4644",
            "fax_number": "785-989-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 SAINT JOSEPH ST",
            "city": "WATHENA",
            "state": "KS",
            "postal_code": "660901280",
            "telephone_number": "785-989-4644",
            "fax_number": "785-989-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUCK",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "K01-04749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wathena, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.