Organization Active NPI

Heinz Chiropractic LLC

  • Chiropractor
  • Wyomissing, PA
National Provider Identifier
1740432129
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 009691 Issued in PA
Legal business name
HEINZ CHIROPRACTIC LLC
Practice address
1436A Penn Ave
Wyomissing, PA 19610-2134
Phone
(610) 375-1411
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. Jared Benjamin HeinzNPI 1023187226
Title
Sole Member
Phone
(610) 375-1411

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 009691 PA Primary

Addresses

Primary practice location

1436A Penn Ave
Wyomissing, PA 19610-2134

Mailing address

1436A Penn Ave
Wyomissing, PA 19610-2134
Phone (610) 375-1411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081202000102 PA Part B Supplier - Clinic/Group Practice 1456412097 Receives reassigned benefits from 1 practitioner
Practice locations: Wyomissing, PA

National Provider Directory

National Provider Directory

Locations

1436 Penn Ave
#A
Wyomissing, PA 19610
Phone (610) 375-1411

Practitioners & affiliated clinicians

Practitioners 1

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1740432129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436A PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102134",
            "telephone_number": "610-375-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436A PENN AVE",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102134",
            "telephone_number": "610-375-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINZ CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "HEINZ",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "610-375-1411",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 009691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.