Individual provider Active NPI

Kimberly Mauldin Heinrich, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1700941036
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5085 Issued in TX
Practice address
4131 Spicewood Springs Rd.
#O-1
Austin, TX 78759-8661
Phone
(512) 795-0707
Fax
(512) 795-7742
NPI assigned
Dec 27, 2006
Last updated
Jul 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5085 TX
Chiropractor 111N00000X DC5085 TX Primary

Addresses

Primary practice location

4131 Spicewood Springs Rd.
#O-1
Austin, TX 78759-8661

Mailing address

4131 Spicewood Springs Rd.
#O-1
Austin, TX 78759-8661
Phone (512) 795-0707

Other identifiers 4

IdentifierTypeStateIssuer
#8M2021OtherBCBS
8M2021OtherBCBS
HUMANA ID#1219339OtherTXHUMANA HEALTHCARE
BCBS 8M2021OtherTXBCBS

Other names 1

  • Dr. Kimberly J. Heinrich Jr. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090916000555 TX Practitioner - Chiropractic 1153477179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4131 Spicewood Springs Rd
O1
Austin, TX 78759-8664
Phone (512) 795-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5085TXMDChiropractor
DC5085TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mauldin Heinrich Chiropractic, LLC Chiropractor CurrentSince Jul 1, 2012 Accepting new patients

Locations

4131 Spicewood Springs Rd
Ste O1
Austin, TX 78759
Phone (512) 795-0707

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1700941036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD.",
            "address_2": "#O-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598661",
            "telephone_number": "512-795-0707",
            "fax_number": "512-795-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 SPICEWOOD SPRINGS RD.",
            "address_2": "#O-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598661",
            "telephone_number": "512-795-0707",
            "fax_number": "512-795-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "KIMBERLY",
        "middle_name": "MAULDIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5085",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "#8M2021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M2021",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTHCARE",
            "identifier": "HUMANA ID#1219339",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "BCBS 8M2021",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HEINRICH",
            "middle_name": "J.",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.