Organization Active NPI

George W. Heathcote DC Inc.

  • Chiropractor
  • Chagrin Falls, OH
National Provider Identifier
1598062457
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2725 Issued in OH
Legal business name
GEORGE W. HEATHCOTE DC INC.
Practice address
1 S Main St
Suite 1
Chagrin Falls, OH 44022-3225
Phone
(440) 893-8800
Fax
(440) 893-9422
NPI assigned
Feb 11, 2011
Last updated
Oct 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Mr. George W. Heathcote, D.C.NPI 1407889918
Title
Owner
Phone
(440) 839-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2725 OH Primary

Addresses

Primary practice location

1 S Main St
Suite 1
Chagrin Falls, OH 44022-3225

Mailing address

1 S Main St
Suite 1
Chagrin Falls, OH 44022-3225
Phone (440) 893-8800

Other names 1

  • Active Chiropractic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110215000343 OH Part B Supplier - Clinic/Group Practice 5991985582 Receives reassigned benefits from 1 practitioner
Practice locations: Chagrin Falls, OH

National Provider Directory

National Provider Directory

Locations

1 S Main St
Chagrin Falls, OH 44022
Phone (216) 536-2633

1 S Main St
Ste 1
Chagrin Falls, OH 44022
Phone (440) 893-8800

154 Bell St
Chagrin Falls, OH 44022
Phone (440) 893-8800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1598062457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223225",
            "telephone_number": "440-893-8800",
            "fax_number": "440-893-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S MAIN ST",
            "address_2": "SUITE 1",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223225",
            "telephone_number": "440-893-8800",
            "fax_number": "440-893-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE W. HEATHCOTE DC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "HEATHCOTE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-839-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.