Active NPI
Gregory B Heywood, D.C.
- Chiropractor
- Sacramento, CA
National Provider Identifier
1568555142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11204
- Practice address
- 225 30TH St
Suite 208
Sacramento, CA 95816-3359 - Phone
- (916) 444-8390
- Fax
- (916) 444-1938
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11204 | CA | Primary |
Addresses
Primary practice location
225 30TH St
Suite 208
Sacramento, CA 95816-3359
Mailing address
9700 Rio Vista Dr
Sacramento, CA 95837-1005
Phone (916) 921-2806
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11204 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568555142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 RIO VISTA DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958371005",
"telephone_number": "916-921-2806",
"fax_number": "916-927-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 30TH ST",
"address_2": "SUITE 208",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958163359",
"telephone_number": "916-444-8390",
"fax_number": "916-444-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYWOOD",
"first_name": "GREGORY",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "11204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.