Individual provider Active NPI

Jason Arthur Heydinger, D.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1629003777
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4519 Issued in OK
Practice address
7891 E 108TH St Ste X16
Tulsa, OK 74133-7408
Phone
(918) 984-1564
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4519 OK Primary

Addresses

Primary practice location

7891 E 108TH St Ste X16
Tulsa, OK 74133-7408

Mailing address

1208 W Boston PL
Broken Arrow, OK 74012-7611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813004174 OK Practitioner - Chiropractic 2668485079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inside Out Chiropractic LLCGroup PAC ID 0749558476, 2 clinicians

Practice addresses (Care Compare)

7891 E 108TH St
Suite 16
Tulsa, OK 74133-7405
Phone (918) 984-1564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4519OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inside Out Chiropractic LLC Chiropractor CurrentSince Jun 10, 2024 Accepting new patients
Scott E. Griffin, D.C., Inc. Chiropractor Past Accepting new patients
Heydinger Family Chiropractic LLC Chiropractor PastSince Jun 25, 2007 Accepting new patients

Locations

7891 E 108th St
Ste 16
Tulsa, OK 74133
Phone (918) 984-1564

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1629003777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 W BOSTON PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 E 108TH ST STE X16",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741337408",
            "telephone_number": "918-984-1564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDINGER",
        "first_name": "JASON",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.