Brent A Heyn, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

006-0001144 Issued in VT

Practice address

8 Ferry Rd
South Hero, VT 05486-4400

Phone

(802) 372-5800

Fax

(802) 372-5800

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brent a Heyn, D.C. and Windy D. Heyn, D.C., PTRSGroup PAC ID 4284683798, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Brent a Heyn, D.C. & Windy D. Heyn, D.C., PTRS.

  dba Lighthouse Chiropractic

  • Chiropractor
  • South Hero, VT
  • NPI 1821158718
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588756720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FERRY RD",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "054864400",
            "telephone_number": "802-372-5800",
            "fax_number": "802-372-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FERRY RD",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "054864400",
            "telephone_number": "802-372-5800",
            "fax_number": "802-372-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYN",
        "first_name": "BRENT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VT",
            "license": "006-0001144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010960",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID#",
            "identifier": "2300046",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ID#",
            "identifier": "68301",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "3742093",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herman Joseph Fossi, RN
• Michelle Godwin
• Brenna Gonyo
• Pamela Jane Goodrich, LPN
• Mary Kate Gwozdz
• Windy Dawn Heyn, D.C.
• David W Hobbs, MD
• Island Physical Therapy, LLC
• Kara Marie Jameson
• Ratana Lenell Johnson, LPN

• Chiropractor in South Hero, VT
• Providers in South Hero, VT by specialty
• Chiropractor in Vermont

• 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.
• 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.