John Heiling

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

200971880A Issued in KS

Practice address

12002 W 101St St
Lenexa, KS 66215-1962

Phone

(913) 492-2840

Fax

(888) 824-0616

NPI assigned

Nov 6, 2013

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 6, 2013.

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1669801031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12002 W 101ST ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151962",
            "telephone_number": "913-492-2840",
            "fax_number": "888-824-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12002 W 101ST ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662151962",
            "telephone_number": "913-492-2840",
            "fax_number": "888-824-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILING",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "KS",
            "license": "200971880A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lenexa, KS
• Developmentally Disabled Services Day Training Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.