Individual provider Active NPI

David Heinish, DC

  • Chiropractor
  • Rockledge, FL
National Provider Identifier
1407075393
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8500 Issued in FL
Practice address
1211 Admiralty Blvd
Rockledge, FL 32955-5201
Phone
(321) 406-0881
Fax
(321) 735-0235
NPI assigned
Apr 25, 2007
Last updated
May 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8500 FL Primary

Addresses

Primary practice location

1211 Admiralty Blvd
Rockledge, FL 32955-5201

Mailing address

1211 Admiralty Blvd
Rockledge, FL 32955-5201
Phone (321) 406-0881

Other identifiers 2

IdentifierTypeStateIssuer
381705900MedicaidFL
89121OtherFLCHIROPRACTOR

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Heinish DC PA Chiropractor PastSince Jan 1, 1990 Accepting new patients
David Heinish D.C. PA Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1407075393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 ADMIRALTY BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555201",
            "telephone_number": "321-406-0881",
            "fax_number": "321-735-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 ADMIRALTY BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555201",
            "telephone_number": "321-406-0881",
            "fax_number": "321-735-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINISH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381705900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "89121",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.