Organization Active NPI

Heffron Chiropractic Clinic PLC

  • Chiropractor
  • Centerville, IA
National Provider Identifier
1447580311
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
05005 Issued in IA
Legal business name
HEFFRON CHIROPRACTIC CLINIC PLC
Practice address
116 E Jackson St
Centerville, IA 52544-1708
Phone
(641) 437-4278
Fax
(641) 856-5747
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Dr. Lawrence E Heffron, D.C.NPI 1003880253
Title
Owner
Phone
(641) 437-1927

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 05005 IA Primary

Addresses

Primary practice location

116 E Jackson St
Centerville, IA 52544-1708

Mailing address

116 E Jackson St
Centerville, IA 52544-1708
Phone (641) 437-4278

Other identifiers 3

IdentifierTypeStateIssuer
350035220OtherIARR MEDICARE
0213025MedicaidIA
21302OtherIABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000781 IA Part B Supplier - Clinic/Group Practice 8022150788 Receives reassigned benefits from 1 practitioner
Practice locations: Centerville, IA

National Provider Directory

National Provider Directory

Locations

116 E Jackson St
Centerville, IA 52544
Phone (515) 437-4278

Practitioners & affiliated clinicians

Practitioners 2

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": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1447580311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E JACKSON ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441708",
            "telephone_number": "641-437-4278",
            "fax_number": "641-856-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E JACKSON ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525441708",
            "telephone_number": "641-437-4278",
            "fax_number": "641-856-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFFRON CHIROPRACTIC CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "HEFFRON",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-437-1927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "05005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "350035220",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213025",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21302",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.