Individual provider Active NPI

Ronald W Heinrichs, C.O.

  • Orthotist
  • Bakersfield, CA
National Provider Identifier
1558741314
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
CO005494 Issued in CA
Practice address
1524 21St St Ste B
Bakersfield, CA 93301-4002
Phone
(661) 322-1005
Fax
(661) 322-0528
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X CO005494 CA Primary

Addresses

Primary practice location

1524 21St St Ste B
Bakersfield, CA 93301-4002

Mailing address

1524 21St St Ste B
Bakersfield, CA 93301-4002
Phone (661) 322-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO005494CAMDOrthotist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Institute of Prosthetics & Orthotics, Inc Orthotist Past Accepting new patients
Valley Institute of Prosthetics & Orthotics, Inc. Orthotist Past Accepting new patients

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": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1558741314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 21ST ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014002",
            "telephone_number": "661-322-1005",
            "fax_number": "661-322-0528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 21ST ST STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933014002",
            "telephone_number": "661-322-1005",
            "fax_number": "661-322-0528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICHS",
        "first_name": "RONALD",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "CO005494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.