John Heiligenthal, D.C.

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

CH6623 Issued in FL

Practice address

910 Mount Homer Rd
Eustis, FL 32726-6258

Phone

(352) 357-8615

Fax

(357) 357-5873

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Health Care Center IncGroup PAC ID 9830285444, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lake Health Care Center Inc

  • Chiropractor
  • Eustis, FL
  • NPI 1104829316
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1528063757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 MOUNT HOMER RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266258",
            "telephone_number": "352-357-8615",
            "fax_number": "357-357-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 MOUNT HOMER RD",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266258",
            "telephone_number": "352-357-8615",
            "fax_number": "357-357-5873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILIGENTHAL",
        "first_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "CH6623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heather Rush
• Lori Mills Helman, OD
• Montana Henson, MS
• Ikeshia K Herbert
• Sarah Elizabeth Hernandez
• Lewis Jackson Herzbrun, M.D.

• Nutrition Chiropractor in Eustis, FL
• Providers in Eustis, FL by specialty
• Nutrition Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.