NPIMap

Individual provider Active NPI

Jeffrey Kent Heavin, DC

  • Chiropractor
  • Indianapolis, IN
National Provider Identifier
1609897370
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08000760A Issued in IN
Practice address
130 E Epler Ave Ste C
Indianapolis, IN 46227-1987
Phone
(317) 757-5016
Fax
(317) 757-5276
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08000760A IN Primary

Addresses

Primary practice location

130 E Epler Ave Ste C
Indianapolis, IN 46227-1987

Mailing address

130 E Epler Ave Ste C
Indianapolis, IN 46227-1987
Phone (317) 757-5016

Other identifiers 1

IdentifierTypeStateIssuer
100140490MedicaidIN

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

Practice roles

OrganizationSpecialtyStatusNew patients
Combs Chiropractic Clinic Chiropractor PastSince Apr 27, 2009 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1609897370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E EPLER AVE STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271987",
            "telephone_number": "317-757-5016",
            "fax_number": "317-757-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E EPLER AVE STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271987",
            "telephone_number": "317-757-5016",
            "fax_number": "317-757-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVIN",
        "first_name": "JEFFREY",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08000760A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100140490",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.