Frank Thomas Heresco, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

27-1620 Issued in OR

Practice address

408 NW 7TH St
Corvallis, OR 97330-6308

Phone

(541) 757-9933

Fax

(541) 757-7713

NPI assigned

Jun 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Westlake Chiropractic, P.C.

  • Chiropractor
  • Lake Oswego, OR
  • NPI 1457506750
  NPD (past) Authorized official

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1407853914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 NW 7TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306308",
            "telephone_number": "541-757-9933",
            "fax_number": "541-757-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 NW 7TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306308",
            "telephone_number": "541-757-9933",
            "fax_number": "541-757-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERESCO",
        "first_name": "FRANK",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "27-1620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008172",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• McKenzie Victoria Henkel
• Camille Henry
• Kristen Lee Henry
• Brianna Herbst, DPT
• Heresco Chiropractic and Associates PC
• Kelly Hoffman Herigstad-Franz
• Danee Rebecca Herman, LCSW
• Heather Lauren Herman, FNP-C
• Kyle Hern
• Neida Hernandez-Plascencia

• Orthopedic Chiropractor in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Orthopedic Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.