Individual provider Active NPI

Heather Shott, DC

  • Nutrition Chiropractor
  • Vista, CA
National Provider Identifier
1376794099
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
DC31025 Issued in CA
Practice address
902 Sycamore Ave
Suite 201
Vista, CA 92081-7879
Phone
(760) 940-0500
Fax
(760) 940-0570
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X DC31025 CA Primary

Addresses

Primary practice location

902 Sycamore Ave
Suite 201
Vista, CA 92081-7879

Mailing address

180 Walnut Ave # B
Carlsbad, CA 92008-3146
Phone (619) 885-8195

Other identifiers 1

IdentifierTypeStateIssuer
DC31025OtherCADC LIC NUMBER

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DC31025CAMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1376794099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WALNUT AVE # B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920083146",
            "telephone_number": "619-885-8195",
            "fax_number": "760-940-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 SYCAMORE AVE",
            "address_2": "SUITE 201",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920817879",
            "telephone_number": "760-940-0500",
            "fax_number": "760-940-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTT",
        "first_name": "HEATHER",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "CA",
            "license": "DC31025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LIC NUMBER",
            "identifier": "DC31025",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.