Active NPI
Lance Christopher Heath, D.C.
- Chiropractor
- Bellefontaine, OH
National Provider Identifier
1336245265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1794
- Practice address
- 1405 S Detroit St
Bellefontaine, OH 43311-9709 - Phone
- (937) 592-6321
- Fax
- (937) 592-7644
- NPI assigned
- Sep 16, 2006
- 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 | 1794 | OH | Primary |
Addresses
Primary practice location
1405 S Detroit St
Bellefontaine, OH 43311-9709
Mailing address
1405 S Detroit St
Bellefontaine, OH 43311-9709
Phone (937) 592-6321
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0869501 | Medicaid | OH | |
| 341700807-00 | Other | OH | WORK COMP PROVIDER NUMBER |
| 000000351120 | Other | ANTHEM BLUE CROSS BLUE SH | |
| P00217158 | Other | RAIL ROAD MEDICARE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1794 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gantz Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Bellefontaine, OH
- NPI 1477004091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336245265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 S DETROIT ST",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119709",
"telephone_number": "937-592-6321",
"fax_number": "937-592-7644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S DETROIT ST",
"city": "BELLEFONTAINE",
"state": "OH",
"postal_code": "433119709",
"telephone_number": "937-592-6321",
"fax_number": "937-592-7644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "LANCE",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1794",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0869501",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORK COMP PROVIDER NUMBER",
"identifier": "341700807-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "000000351120",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00217158",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellefontaine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.