Individual provider Active NPI

Paul E Heeren, DC

  • Chiropractor
  • Guilford, CT
National Provider Identifier
1427075167
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
000401 Issued in CT
Practice address
2514 Boston Post Rd
Ste 7C
Guilford, CT 06437
Phone
(203) 453-9888
Fax
(203) 453-0517
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 000401 CT Primary
Chiropractor 111N00000X 38MC00244100 NJ

Addresses

Primary practice location

2514 Boston Post Rd
Ste 7C
Guilford, CT 06437

Mailing address

2514 Boston Post Rd
Ste 7C
Guilford, CT 06437
Phone (203) 453-9888

Other identifiers 3

IdentifierTypeStateIssuer
050000401CT01OtherANTHEM BL CROSS
P412768OtherOXFORD
3384OtherHEALTHNET PHS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041112000054 CT Practitioner - Chiropractic 6709840523 Practice locations: Guilford, CT

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2514 Boston Post Rd
Suite 7C
Guilford, CT 06437-1339
Phone (203) 453-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000401CTMDChiropractor
38MC00244100NJMDChiropractor
401CTMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427075167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 BOSTON POST RD",
            "address_2": "STE 7C",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "06437",
            "telephone_number": "203-453-9888",
            "fax_number": "203-453-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 BOSTON POST RD",
            "address_2": "STE 7C",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "06437",
            "telephone_number": "203-453-9888",
            "fax_number": "203-453-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEREN",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000401",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00244100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BL CROSS",
            "identifier": "050000401CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P412768",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PHS",
            "identifier": "3384",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.