NPIMap

Organization Active NPI

Blue Heron Health Centers

  • Chiropractor
  • Longview, TX
National Provider Identifier
1689857831
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10319 Issued in TX
Legal business name
BLUE HERON HEALTH CENTERS
Practice address
2143 Gilmer Rd.
Longview, TX 75604
Phone
(903) 234-2886
Fax
(903) 234-2451
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Mr. Jeffrey S. White, D.C.NPI 1619985207
Title
Doctor/Administrator
Phone
(903) 234-2886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 10319 TX Primary

Addresses

Primary practice location

2143 Gilmer Rd.
Longview, TX 75604

Mailing address

2143 Gilmer Rd.
Longview, TX 75604
Phone (903) 234-2886

Other names 1

  • United Health Chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

2143 Gilmer Rd
Longview, TX 75604
Phone (903) 234-2886

311B N High St
Longview, TX 75601
Phone (903) 234-2886

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1689857831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 GILMER RD.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75604",
            "telephone_number": "903-234-2886",
            "fax_number": "903-234-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 GILMER RD.",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75604",
            "telephone_number": "903-234-2886",
            "fax_number": "903-234-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HERON HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DOCTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "903-234-2886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Health Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.