Heintzkill Chiropractic Plus LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1697012 Issued in WI

Legal business name

HEINTZKILL CHIROPRACTIC PLUS LLC

Practice address

566 Redbird Circle
#7
Depere, WI 54115-8796

Phone

(920) 337-9003

Fax

(920) 337-9003

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Robert Keintzkill, DC

Title

Owner

Phone

(920) 337-9003

Specialties & licenses 1

Addresses

Locations

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.

• Mark Robert Heintzkill, DC

  • Chiropractor
  • Manitowoc, WI
  • NPI 1427118413
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780744771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 REDBIRD CIRCLE",
            "address_2": "#7",
            "city": "DEPERE",
            "state": "WI",
            "postal_code": "541158796",
            "telephone_number": "920-337-9003",
            "fax_number": "920-337-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 REDBIRD CIRCLE",
            "address_2": "#7",
            "city": "DEPERE",
            "state": "WI",
            "postal_code": "541158796",
            "telephone_number": "920-337-9003",
            "fax_number": "920-337-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINTZKILL CHIROPRACTIC PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEINTZKILL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-337-9003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1697012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.