Individual provider Active NPI

Andrew D Heiser, DC

  • Chiropractor
  • Kansas City, MO
National Provider Identifier
1346452935
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2007000967 Issued in MO
Practice address
9020 N Skyview Ave
Kansas City, MO 64154-8501
Phone
(816) 505-2021
Fax
(816) 505-2020
NPI assigned
May 4, 2007
Last updated
Jul 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2007000967 MO Primary

Addresses

Primary practice location

9020 N Skyview Ave
Kansas City, MO 64154-8501

Mailing address

15315 Country LN
Kearney, MO 64060-8005
Phone (816) 628-4634

Other identifiers 1

IdentifierTypeStateIssuer
38408029OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080915000298 MO Practitioner - Chiropractic 4789750860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9020 N Skyview Ave
Kansas City, MO 64154-8501
Phone (816) 505-2021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2007000967MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Springs Chiropractic Clinic PC Chiropractor CurrentSince Jan 14, 2008 Accepting new patients
Heiser Chiropractic and Acupuncture LLC Chiropractor CurrentSince Aug 10, 2010 Accepting new patients

Locations

701 NW State Route 7
Ste B
Blue Springs, MO 64014
Phone (816) 224-6200

9020 N Skyview Ave
Kansas City, MO 64154
Phone (816) 505-2021

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1346452935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 COUNTRY LN",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640608005",
            "telephone_number": "816-628-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 N SKYVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641548501",
            "telephone_number": "816-505-2021",
            "fax_number": "816-505-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISER",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007000967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38408029",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.