Organization Active NPI

David Heinish DC PA

Doing business as Heinish Family Chiropractic center

  • Chiropractor
  • Orange City, FL
National Provider Identifier
1619184546
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8500 Issued in FL
Legal business name
DAVID HEINISH DC PA
Doing business as
Heinish Family Chiropractic center
Practice address
1209 Saxon Blvd Ste 3
Orange City, FL 32763-8402
Phone
(386) 775-1074
Fax
(386) 775-1705
NPI assigned
May 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daivd Heinish, D.C.
Title
President
Phone
(386) 775-1074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8500 FL Primary

Addresses

Primary practice location

1209 Saxon Blvd Ste 3
Orange City, FL 32763-8402

Mailing address

1209 Saxon Blvd Ste 3
Orange City, FL 32763-8402
Phone (386) 775-1074

Other identifiers 1

IdentifierTypeStateIssuer
89121OtherFLCHIROPRACTOR

Other names 1

  • Heinish Family Chiropractic center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Heinish DC PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1209 Saxon Blvd
Ste 3
Orange City, FL 32763
Phone (386) 775-1074

Practitioners & affiliated clinicians

Practitioners 1

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": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619184546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 SAXON BLVD STE 3",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638402",
            "telephone_number": "386-775-1074",
            "fax_number": "386-775-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 SAXON BLVD STE 3",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638402",
            "telephone_number": "386-775-1074",
            "fax_number": "386-775-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HEINISH DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEINISH",
        "authorized_official_first_name": "DAIVD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-775-1074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "89121",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heinish Family Chiropractic center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.