Active NPI
Patrick S Heffron, DC
- Chiropractor
- Corydon, IA
National Provider Identifier
1669444014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 063776
- Practice address
- 410 E Jefferson St
Corydon, IA 50060-1530 - Phone
- (641) 872-2435
- Fax
- (641) 872-2438
- NPI assigned
- Feb 1, 2006
- Last updated
- Nov 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 063776 | IA | Primary |
Addresses
Primary practice location
410 E Jefferson St
Corydon, IA 50060-1530
Mailing address
410 E Jefferson St
Corydon, IA 50060-1530
Phone (641) 872-2435
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25268 | Other | IA | BCBS NUMBER |
| P00109484 | Other | IA | RR MEDICARE NUMBER |
| 1226456 | Medicaid | IA |
Other names 1
- Dr. Pat S Heffron
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
410 E Jefferson St
Corydon, IA 50060-1530
Phone (641) 872-2435
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063776 | IA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SKS Inc | Chiropractor | Current | Accepting new patients |
Locations
410 E Jefferson St
Corydon, IA 50060
Phone (515) 437-4278
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Corydon, IA
- NPI 1336320019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195603200000",
"number": "1669444014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 E JEFFERSON ST",
"city": "CORYDON",
"state": "IA",
"postal_code": "500601530",
"telephone_number": "641-872-2435",
"fax_number": "641-872-2438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E JEFFERSON ST",
"city": "CORYDON",
"state": "IA",
"postal_code": "500601530",
"telephone_number": "641-872-2435",
"fax_number": "641-872-2438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFRON",
"first_name": "PATRICK",
"middle_name": "S",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2007-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "063776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NUMBER",
"identifier": "25268",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE NUMBER",
"identifier": "P00109484",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1226456",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAT",
"last_name": "HEFFRON",
"middle_name": "S",
"prefix": "DR.",
"credential": "DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Corydon, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.