Individual provider Active NPI

Bruce J. Heng, D.C., M.ED.

  • Chiropractor
  • Edmond, OK
National Provider Identifier
1386624161
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1860 Issued in OK
Practice address
1700 S Boulevard St
Edmond, OK 73013-5144
Phone
(405) 340-1086
Fax
(405) 340-0750
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1860 OK Primary

Addresses

Primary practice location

1700 S Boulevard St
Edmond, OK 73013-5144

Mailing address

1700 S Boulevard St
Edmond, OK 73013-5144
Phone (405) 340-1086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109000304 OK Practitioner - Chiropractic 3971798547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1700 S Boulevard
Suite a
Edmond, OK 73013-5173
Phone (405) 340-1086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J. Heng, D.C., Inc. Chiropractor CurrentSince Jun 28, 2010 Accepting new patients

Locations

1700 S Boulevard
Edmond, OK 73013
Phone (405) 340-1086

1700 S Boulevard
Ste A
Edmond, OK 73013
Phone (405) 340-1086

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1386624161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135144",
            "telephone_number": "405-340-1086",
            "fax_number": "405-340-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S BOULEVARD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730135144",
            "telephone_number": "405-340-1086",
            "fax_number": "405-340-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENG",
        "first_name": "BRUCE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.C., M.ED.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "1860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.