Individual provider Active NPI

Nathan William Heimgartner, D.C.

  • Chiropractor
  • O'Fallon, MO
National Provider Identifier
1447310917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2006000760 Issued in MO
Practice address
2508 Breezy Point LN
O Fallon, MO 63368-3510
Phone
(314) 607-8088
Fax
(636) 272-7973
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2006000760 MO Primary

Addresses

Primary practice location

2508 Breezy Point LN
O Fallon, MO 63368-3510

Mailing address

2508 Breezy Point LN
O Fallon, MO 63368-3510
Phone (314) 607-8088

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000197 MO Practitioner - Chiropractic 2860402278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Family Wellness Center LLCGroup PAC ID 0547692071, 5 clinicians

Practice addresses (Care Compare)

1747 Smizer Station Rd
Suite 4
Fenton, MO 63026-2784
Phone (636) 825-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Family Wellness Center LLC Chiropractor CurrentSince Dec 9, 2025 Accepting new patients
Essen Chiropractic and Acupuncture, L L C Chiropractor Past Accepting new patients

Locations

1747 Smizer Station Rd
Ste 4
Fenton, MO 63026
Phone (636) 825-6555

1747 Smizer Station Rd
Ste 5
Fenton, MO 63026
Phone (636) 529-7000

Organizations & group practices 2

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447310917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BREEZY POINT LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683510",
            "telephone_number": "314-607-8088",
            "fax_number": "636-272-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BREEZY POINT LN",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633683510",
            "telephone_number": "314-607-8088",
            "fax_number": "636-272-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMGARTNER",
        "first_name": "NATHAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2006000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

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.