Organization Active NPI

Heise Chiropractic Clinic PA

  • Nutrition Chiropractor
  • Winter Park, FL
National Provider Identifier
1780736157
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
1603 Issued in FL
Legal business name
HEISE CHIROPRACTIC CLINIC PA
Practice address
3592 Aloma Ave
Suite 3
Winter Park, FL 32792-4012
Phone
(407) 677-1660
Fax
(407) 677-8252
NPI assigned
Jan 17, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Dr. Douglas Arnold Heise, D.C.NPI 1932215225
Title
President
Phone
(407) 677-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 1603 FL Primary

Addresses

Primary practice location

3592 Aloma Ave
Suite 3
Winter Park, FL 32792-4012

Mailing address

3592 Aloma Ave
Suite 3
Winter Park, FL 32792-4012
Phone (407) 677-1660

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1780736157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE",
            "address_2": "SUITE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-677-1660",
            "fax_number": "407-677-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 ALOMA AVE",
            "address_2": "SUITE 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924012",
            "telephone_number": "407-677-1660",
            "fax_number": "407-677-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEISE CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-677-1660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "FL",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.