Heath Haffener, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01-04632 Issued in KS

Practice address

1901 W 4TH St
BLDG B, Ste #1
Coffeyville, KS 67337-3010

Phone

(620) 251-1515

Fax

(620) 251-1919

NPI assigned

Jul 22, 2006

Last updated

Dec 21, 2016By 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

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1336160332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W 4TH ST",
            "address_2": "BLDG B, STE #1",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373010",
            "telephone_number": "620-251-1515",
            "fax_number": "620-251-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W 4TH ST",
            "address_2": "BLDG B, STE #1",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373010",
            "telephone_number": "620-251-1515",
            "fax_number": "620-251-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFFENER",
        "first_name": "HEATH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-04632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Dean Gillis, D.O.
• Linda S Grover, PTA
• Alexandra Anatolyia Grunewald, MD
• GV-Op Coffeyville LLC
• GV-Op Coffeyville LLC
• Stephen Mark Haley, RPH
• Denise Hall, DPH
• Chan S Han, MD
• Shelley Rene Harper
• Mary Beth Hartley, APRN

• Chiropractor in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; 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.