Active NPI
Lloyd Cole Heisler, D.C.
- Chiropractor
- Crestview, FL
National Provider Identifier
1316164973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH9628
- Practice address
- 1695 S Ferdon Blvd
Crestview, FL 32536-8447 - Phone
- (850) 398-8985
- Fax
- (850) 398-8978
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- 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 | CH9628 | FL | Primary |
Addresses
Primary practice location
1695 S Ferdon Blvd
Crestview, FL 32536-8447
Mailing address
1695 S Ferdon Blvd
Crestview, FL 32536-8447
Phone (850) 398-8985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2206L | Other | BCBS |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9628 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spine Life Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
| JD Nimrick PC | Past | Accepting new patients | |
| Payne Chiropractic Life Center PA | Chiropractor | Past | Accepting new patients |
| Kaufman Wellness Center, LTD | Chiropractor | Past | Accepting new patients |
| Waterside Chiropractic Inc. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba Payne Chiropractic Wellness Center
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- Destin, FL
- NPI 1083633200
-
- Chiropractor
- Crestview, FL
- NPI 1316446222
-
- Chiropractor
- Santa Rosa Beach, FL
- NPI 1114166238
-
- Chiropractor
- Metamora, IL
- NPI 1740497957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361318400000",
"number": "1316164973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1695 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325368447",
"telephone_number": "850-398-8985",
"fax_number": "850-398-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 S FERDON BLVD",
"city": "CRESTVIEW",
"state": "FL",
"postal_code": "325368447",
"telephone_number": "850-398-8985",
"fax_number": "850-398-8978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISLER",
"first_name": "LLOYD",
"middle_name": "COLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2013-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH9628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "2206L",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crestview, FL
- Healthy Perspectives Counseling Group
- Nicklaus Heath, D.D.S
- Delvin Mario Hector, LISW
- Andrea Renea Hefner, DNP, APRN, FNP-BC
- Steven Douglas Heinicke, DMD
- Helen a Preston MD PA (Comprehensive Heart and Sleep)
- Elizabeth Helms
- Ivy Katherine Helton, PHARMD
- Brittany Henderson, PHARM.D.
- Chase Douglas Henderson, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.