Individual provider Active NPI

Caleb Heifner

  • Chiropractor
  • Pensacola, FL
National Provider Identifier
1750044558
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13850 Issued in FL
Practice address
5599 N W St
Pensacola, FL 32505-2447
Phone
(850) 397-2558
NPI assigned
Oct 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Chiropractor 111N00000X 13850 FL Primary

Addresses

Primary practice location

5599 N W St
Pensacola, FL 32505-2447

Mailing address

7137 Bayshore Dr
Milton, FL 32583-2928
Phone (850) 686-4373

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

LicenseStateTypeSpecialty
13850FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stern Family Chiropractic, LLC Chiropractor CurrentSince Apr 25, 2022 Accepting new patients

Locations

5599 N W St
Pensacola, FL 32505
Phone (850) 432-3484

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1750044558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7137 BAYSHORE DR",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325832928",
            "telephone_number": "850-686-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 N W ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052447",
            "telephone_number": "850-397-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIFNER",
        "first_name": "CALEB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.