Organization Active NPI

Heritage Chiropractic & Wellness Center LLC

  • Chiropractor
  • Raymore, MO
National Provider Identifier
1265688279
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2001007376 Issued in MO
Legal business name
HERITAGE CHIROPRACTIC & WELLNESS CENTER LLC
Practice address
103 S Jefferson St
Raymore, MO 64083-9703
Phone
(816) 322-1990
Fax
(816) 322-0005
NPI assigned
Aug 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Julie F Burd
Title
Medical Billing Specialist
Phone
(816) 228-8768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2001007376 MO Primary

Addresses

Primary practice location

103 S Jefferson St
Raymore, MO 64083-9703

Mailing address

103 S Jefferson St
Raymore, MO 64083-9703
Phone (816) 322-1990

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1265688279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 S JEFFERSON ST",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839703",
            "telephone_number": "816-322-1990",
            "fax_number": "816-322-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S JEFFERSON ST",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640839703",
            "telephone_number": "816-322-1990",
            "fax_number": "816-322-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHIROPRACTIC & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-09",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "BURD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "816-228-8768"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2001007376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.