Active NPI
Heather A Cluck, DC
- Chiropractor
- Wathena, KS
National Provider Identifier
1255535266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- K01-04749
- 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, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KS
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4749 | KS | MD | Clinical Social Worker |
| K01-04749 | KS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Health Chiropractic, P.a. | Chiropractor | Current | Accepting new patients |
| Chaney Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Copple Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Advanced Chiropractic Services PA | Chiropractor | Past | Accepting new patients |
| Midwest Chiropractic Services LLC | Chiropractor | Past | Accepting new patients |
| Activate Your Health Chiropractic Center P.C. | Chiropractor | Past | 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.
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- Chiropractor
- Lawrence, KS
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- Chiropractor
- Saint Joseph, MO
- NPI 1891859054
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.