Active NPI
Heather Shott, DC
- Nutrition Chiropractor
- Vista, CA
National Provider Identifier
1376794099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- DC31025
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC31025 | Other | CA | DC 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
| License | State | Type | Specialty |
|---|---|---|---|
| DC31025 | CA | MD | Nutrition 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.