Individual provider Active NPI

Heather Eastwood, D.C.

  • Chiropractor
  • Charleston, WV
National Provider Identifier
1346435799
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9259 Issued in FL
Practice address
100 Peyton Way
Suite 201
Charleston, WV 25309
Phone
(850) 209-7878
NPI assigned
Sep 10, 2007
Last updated
Sep 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9259 FL Primary

Addresses

Primary practice location

100 Peyton Way
Suite 201
Charleston, WV 25309

Mailing address

100 Peyton Way
Suite 201
Charleston, WV 25309
Phone (850) 209-7878

Other names 1

  • Heather Bontrager Former name

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

LicenseStateTypeSpecialty
CH9259FLMDChiropractor
873WVMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1346435799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY",
            "address_2": "SUITE 201",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "850-209-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PEYTON WAY",
            "address_2": "SUITE 201",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "25309",
            "telephone_number": "850-209-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTWOOD",
        "first_name": "HEATHER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BONTRAGER",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.