Active NPI
Richard D Heavner, DC
- Chiropractor
- Florence, SC
National Provider Identifier
1366443582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2207
- Practice address
- 1501 Heritage LN
Florence, SC 29505-3141 - Phone
- (843) 665-7817
- Fax
- (843) 665-7928
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 2207 | SC | Primary |
Addresses
Primary practice location
1501 Heritage LN
Florence, SC 29505-3141
Mailing address
2234 W Palmetto St
Florence, SC 29501-4047
Phone (843) 665-7817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2207 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2234 W Palmetto St
Florence, SC 29501-4047
Phone (843) 665-7817
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9910 | SC | MD | Social Worker |
| 2207 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Health Chiropractic Center, LLC | Chiropractor | Current | Accepting new patients |
| Eads Chiropractic Wellness | Chiropractor | Past | Accepting new patients |
| Eads Chiropractic Wellness Centers | Chiropractor | Past | Accepting new patients |
| Pee Dee Chiropractic Family Health Center | Chiropractor | Past | Accepting new patients |
Locations
1501 Heritage Ln
Florence, SC 29505
Phone (843) 665-6777
2234 W Palmetto St
Florence, SC 29501
Phone (843) 665-5505
2234 W Palmetto St
#A
Florence, SC 29501
Phone (843) 665-5505
Organizations & group practices 4
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
- Florence, SC
- NPI 1699971853
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- Chiropractor
- Florence, SC
- NPI 1740268762
-
- Chiropractor
- Darlington, SC
- NPI 1770561797
-
- Chiropractor
- Florence, SC
- NPI 1083805972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546819200000",
"number": "1366443582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 W PALMETTO ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295014047",
"telephone_number": "843-665-7817",
"fax_number": "843-665-7447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HERITAGE LN",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295053141",
"telephone_number": "843-665-7817",
"fax_number": "843-665-7928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAVNER",
"first_name": "RICHARD",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2019-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "2207",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2207",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.