Individual provider Active NPI

Heidi Pendleton, D.C.

  • Chiropractor
  • Pottstown, PA
National Provider Identifier
1639186745
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007198L Issued in PA
Practice address
142 Shoemaker Rd
Unit D
Pottstown, PA 19464-6430
Phone
(610) 718-1183
Fax
(610) 718-5512
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007198L PA Primary

Addresses

Primary practice location

142 Shoemaker Rd
Unit D
Pottstown, PA 19464-6430

Mailing address

142 Shoemaker Rd
Unit D
Pottstown, PA 19464-6430
Phone (610) 718-1183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000360 PA Practitioner - Chiropractic 2264443118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

463 W Ridge Pike
Royersford, PA 19468-1415
Phone (484) 791-3553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC007198LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Energies Chiropractic Center Chiropractor CurrentSince Feb 22, 2024 Accepting new patients
Eagle Chiropractic at Pottstown Chiropractor Past Accepting new patients
Shelly Mycka, DC, PC Past Accepting new patients
RNR Office Systems Inc. Chiropractor Past Accepting new patients

Locations

463 W Ridge Pike
Royersford, PA 19468
Phone (484) 791-3553

Organizations & group practices 4

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639186745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SHOEMAKER RD",
            "address_2": "UNIT D",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646430",
            "telephone_number": "610-718-1183",
            "fax_number": "610-718-5512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SHOEMAKER RD",
            "address_2": "UNIT D",
            "city": "POTTSTOWN",
            "state": "PA",
            "postal_code": "194646430",
            "telephone_number": "610-718-1183",
            "fax_number": "610-718-5512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDLETON",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007198L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pottstown, PA

Sources for this page

  • 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.