Organization Active NPI

Heffernan Enterprises PLLC

  • Clinic/Center
  • Webster City, IA
National Provider Identifier
1417468281
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
072381 Issued in IA
Legal business name
HEFFERNAN ENTERPRISES PLLC
Practice address
1527 Superior St
Webster City, IA 50595-2961
Phone
(515) 832-3033
NPI assigned
Oct 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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

Authorized official

Name
Dr. Kyle Martin Heffernan, DCNPI 1871919530
Title
Vice President
Phone
(515) 293-0026

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
Clinic/Center 261Q00000X 072381 IA Primary

Addresses

Primary practice location

1527 Superior St
Webster City, IA 50595-2961

Mailing address

902 1St St
Webster City, IA 50595-2002
Phone (515) 293-0026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171204002436 IA Part B Supplier - Clinic/Group Practice 9436416245 Receives reassigned benefits from 1 practitioner
Practice locations: Webster City, IA

National Provider Directory

National Provider Directory

Locations

1527 Superior St
Webster City, IA 50595
Phone (515) 832-3033

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508371200000",
    "number": "1417468281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 1ST ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952002",
            "telephone_number": "515-293-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 SUPERIOR ST",
            "city": "WEBSTER CITY",
            "state": "IA",
            "postal_code": "505952961",
            "telephone_number": "515-832-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFFERNAN ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "515-293-0026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IA",
            "license": "072381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2017; 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.