Terry Glen Heisner, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3651R Issued in KY

Practice address

806 Jefferson St
Paducah, KY 42001-6820

Phone

(270) 443-4988

Fax

(270) 443-4988

NPI assigned

Jan 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467504704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016820",
            "telephone_number": "270-443-4988",
            "fax_number": "270-443-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420016820",
            "telephone_number": "270-443-4988",
            "fax_number": "270-443-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISNER",
        "first_name": "TERRY",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3651R",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HE715490",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Tory Heine, DMD
• Heine, Heine and Bowles, PLLC
• Robert Donald Heine, DMD
• Emma Sue Heinemann
• Monty Carl Heisner, DC
• Jessica Heller, LPN
• Abigail Reese Henderson
• Dalton T Henderson, APRN
• Debbie B Henderson, RPH.
• Kayla B Hendley, APRN

• Chiropractor in Paducah, KY
• Providers in Paducah, KY by specialty
• Chiropractor in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.