Organization Active NPI

Joan Blackford-Heintz, PA.

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1497055859
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5959 Issued in FL
Legal business name
JOAN BLACKFORD-HEINTZ, PA.
Practice address
5314 26TH St W
Bradenton, FL 34207-3011
Phone
(941) 751-1147
Fax
(941) 751-6952
NPI assigned
Nov 1, 2010
Last updated
May 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Authorized official

Name
Joan L Blackford-Heintz, D.C.NPI 1942266358
Title
Director
Phone
(941) 751-1147

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 CH5959 FL Primary

Addresses

Primary practice location

5314 26TH St W
Bradenton, FL 34207-3011

Mailing address

5314 26TH St W
Bradenton, FL 34207-3011
Phone (941) 751-1147

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110519000736 FL Part B Supplier - Clinic/Group Practice 2466638879 Receives reassigned benefits from 2 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1497055859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073011",
            "telephone_number": "941-751-1147",
            "fax_number": "941-751-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073011",
            "telephone_number": "941-751-1147",
            "fax_number": "941-751-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN BLACKFORD-HEINTZ, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BLACKFORD-HEINTZ",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "941-751-1147",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.