Individual provider Active NPI

John Heiling

  • Developmentally Disabled Services Day Training Agency
  • Lenexa, KS
National Provider Identifier
1669801031
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 200971880A KS Primary

Addresses

Primary practice location

12002 W 101St St
Lenexa, KS 66215-1962

Mailing address

12002 W 101St St
Lenexa, KS 66215-1962
Phone (913) 492-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
200971880AKSMDDevelopmentally Disabled Services Day Training Agency

NPI Registry JSON

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

{
    "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": []
}

Other providers in Lenexa, KS

Sources for this page

  • 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.