Organization Active NPI

Matthew E Heins DC PC

  • Chiropractor
  • Waterford, MI
National Provider Identifier
1407262579
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010216 Issued in MI
Legal business name
MATTHEW E HEINS DC PC
Practice address
2710 Dixie Hwy
Ste. a
Waterford, MI 48328-1784
Phone
(248) 674-0489
Fax
(248) 674-9651
NPI assigned
Jul 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Dr. Matthew Edward Heins, DCNPI 1760897821
Title
President
Phone
(248) 860-1925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301010216 MI Primary

Addresses

Primary practice location

2710 Dixie Hwy
Ste. a
Waterford, MI 48328-1784

Mailing address

5720 Cobb Creek Rd
Rochester Hills, MI 48306-2419
Phone (248) 860-1925

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150114002046 MI Part B Supplier - Clinic/Group Practice 6002130309 Receives reassigned benefits from 1 practitioner
Practice locations: Waterford, MI

National Provider Directory

National Provider Directory

Locations

126 E 3rd St
Rochester, MI 48307
Phone (248) 218-5140

2710 Dixie Hwy
Ste A
Waterford, MI 48328
Phone (248) 674-0489

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1407262579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 COBB CREEK RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483062419",
            "telephone_number": "248-860-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 DIXIE HWY",
            "address_2": "STE. A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483281784",
            "telephone_number": "248-674-0489",
            "fax_number": "248-674-9651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW E HEINS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-09",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "HEINS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-860-1925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; 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.