Active NPI
Gayle Nicole Heyer, DC
- Chiropractor
- Blythewood, SC
National Provider Identifier
1720291610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3225
- Practice address
- 744 Stonebury Cir
Blythewood, SC 29016-7795 - Phone
- (803) 386-3912
- Fax
- (803) 403-8216
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
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 | 3225 | SC | Primary |
Addresses
Primary practice location
744 Stonebury Cir
Blythewood, SC 29016-7795
Mailing address
744 Stonebury Cir
Blythewood, SC 29016-7795
Phone (803) 386-3912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH3225 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3225 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to You Chiropractic | Chiropractor | Past | Accepting new patients |
| Willis Chiro Med of Columbia, Inc. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Columbia, SC
- NPI 1285051631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1720291610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 STONEBURY CIR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167795",
"telephone_number": "803-386-3912",
"fax_number": "803-403-8216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 STONEBURY CIR",
"city": "BLYTHEWOOD",
"state": "SC",
"postal_code": "290167795",
"telephone_number": "803-386-3912",
"fax_number": "803-403-8216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYER",
"first_name": "GAYLE",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "3225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH3225",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blythewood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.