Eric Tony Hecimovich, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60752989 Issued in WA

Practice address

21157 State Route 410 E
Bonney Lake, WA 98391-8457

Phone

(253) 862-2138

Fax

(253) 862-2947

NPI assigned

Feb 7, 2007

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• CWC Group, PS

  • Chiropractor
  • Bellevue, WA
  • NPI 1831659424
  NPD
• Noble O. Elcenko, D.C., Inc

  • Chiropractor
  • Antioch, CA
  • NPI 1093859639
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1396885398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 LONE TREE WAY",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094922",
            "telephone_number": "925-754-6868",
            "fax_number": "925-754-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21157 STATE ROUTE 410 E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918457",
            "telephone_number": "253-862-2138",
            "fax_number": "253-862-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECIMOVICH",
        "first_name": "ERIC",
        "middle_name": "TONY",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60752989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otto Julius Hanssen, D.D.S.
• Tiffany Hardy
• Nicole Tatiana Hawe, OTR/L
• Ralph Donald Hawkins, DDS
• Nishy Kaur Hayre
• Chia Shing Heermann, LMP
• Jacob D Henderson, PT, DPT
• Lindsey Henderson
• Jennie G Hendrie, M.D.
• Henschell Chiropractic, P.S.

• Chiropractor in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.