Individual provider Active NPI

William A Heffron III, DC

  • Chiropractor
  • Unionville, MO
National Provider Identifier
1457324519
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1999134929 Issued in MO
Practice address
2808 Washington Street
Unionville, MO 63565
Phone
(660) 947-2929
Fax
(660) 947-0099
NPI assigned
Feb 9, 2006
Last updated
Apr 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1999134929 MO Primary

Addresses

Primary practice location

2808 Washington Street
Unionville, MO 63565

Mailing address

2808 Washington Street
PO Box 207
Unionville, MO 63565
Phone (660) 947-2929

Other identifiers 6

IdentifierTypeStateIssuer
208794092OtherMOCOMMERCIAL INSURANCE
755313202MedicaidMO
350050826OtherMORAILROAD MEDICARE
428018OtherMOHEALTHLINK
131606OtherMOBCBS
365235OtherMOCHOICE CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070801000098 MO Practitioner - Chiropractic 4082705306 Reassigns benefits to 1 organization
I20180508002428 IA Practitioner - Chiropractic 4082705306 Practice locations: Centerville, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2808 Washington St
Unionville, MO 63565-1035
Phone (660) 947-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Heffron III Chiropractic Clinic Inc Chiropractor CurrentSince Apr 24, 2007 Accepting new patients
Heffron Chiropractic Clinic PLC Chiropractor PastSince Jan 1, 2003 Accepting new patients

Locations

2808 Washington St
Unionville, MO 63565
Phone (660) 947-2929

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1457324519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 WASHINGTON STREET",
            "address_2": "PO BOX 207",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "63565",
            "telephone_number": "660-947-2929",
            "fax_number": "660-947-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 WASHINGTON STREET",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "63565",
            "telephone_number": "660-947-2929",
            "fax_number": "660-947-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFRON",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "1999134929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "208794092",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "755313202",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350050826",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "428018",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "131606",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE",
            "identifier": "365235",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Unionville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.