Individual provider Active NPI

Lee Andre Heu, D.C.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1497822175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC24141 Issued in CA
Practice address
3636 N 1St St
Suite 123
Fresno, CA 93726-6800
Phone
(559) 221-8180
Fax
(559) 221-8187
NPI assigned
Nov 29, 2006
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 DC24141 CA Primary

Addresses

Primary practice location

3636 N 1St St
Suite 123
Fresno, CA 93726-6800

Mailing address

3636 N 1St St
Suite 123
Fresno, CA 93726-6800
Phone (559) 221-8180

Other identifiers 1

IdentifierTypeStateIssuer
DC0241410MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040316000369 CA Practitioner - Chiropractic 3577453539 Practice locations: Fresno, CA
I20140929002840 CA Practitioner - Chiropractic 3577453539 Practice locations: Fresno, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24141CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westcare California Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497822175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 123",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-221-8180",
            "fax_number": "559-221-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST",
            "address_2": "SUITE 123",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266800",
            "telephone_number": "559-221-8180",
            "fax_number": "559-221-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEU",
        "first_name": "LEE",
        "middle_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC24141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0241410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

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

Verify at the official NPI Registry.