Individual provider Active NPI

Daniel Thompson Heard, DO

  • Integrative Medicine Physician
  • Evansville, IN
National Provider Identifier
1780825182
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
License
02003589A Issued in IN
Practice address
101 N Plaza East Blvd Ste 320
Evansville, IN 47715-2871
Phone
(812) 455-5541
Fax
(812) 356-6468
NPI assigned
Mar 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 02003589A IN
Occupational Medicine Physician 2083X0100X 02003589A IN
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 02003589A IN
Integrative Medicine Physician 202D00000X 02003589A IN Primary
Obesity Medicine (Family Medicine) Physician 207QB0002X 02003589A IN
Aerospace Medicine Physician 2083A0100X 02003589A IN
Independent Medical Examiner Physician 202C00000X 02003589A IN
Adult Medicine Physician 207QA0505X 02003589A IN

Addresses

Primary practice location

101 N Plaza East Blvd Ste 320
Evansville, IN 47715-2871

Mailing address

101 N Plaza East Blvd Ste 320
Evansville, IN 47715-2871
Phone (812) 356-6468

Other identifiers 3

IdentifierTypeStateIssuer
300068637MedicaidIN
23-313744OtherMEDICAL REVIEW OFFICER (MEDICAL REVIEW OFFICER CERTIFICATION COUNCIL)
7736166385OtherFMCSA / NRCME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160827000328 TX Practitioner - General Practice 0547555658 Reassigns benefits to 1 organization
I20181102001258 IN Practitioner - General Practice 0547555658 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02003589AINMDIndependent Medical Examiner Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gentox Wellness Clinic LLC CurrentSince Oct 11, 2022 Accepting new patients
Cherokee Nation CurrentSince Jun 27, 2016 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Jun 27, 2016 Accepting new patients

Locations

1602 N Fares Ave
Evansville, IN 47711
Phone (812) 437-3784

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#Three
Muskogee, OK 74403
Phone (918) 687-0201

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Organizations & group practices 5

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": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1780825182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PLAZA EAST BLVD STE 320",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152871",
            "telephone_number": "812-356-6468",
            "fax_number": "812-455-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PLAZA EAST BLVD STE 320",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152871",
            "telephone_number": "812-455-5541",
            "fax_number": "812-356-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "DANIEL",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-13",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "IN",
            "license": "02003589A",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "02003589A",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IN",
            "license": "02003589A",
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": "IN",
            "license": "02003589A",
            "primary": true
        },
        {
            "code": "207QB0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "IN",
            "license": "02003589A",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "02003589A",
            "primary": false
        },
        {
            "code": "202C00000X",
            "taxonomy_group": "",
            "desc": "Independent Medical Examiner",
            "state": "IN",
            "license": "02003589A",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IN",
            "license": "02003589A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300068637",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL REVIEW OFFICER (MEDICAL REVIEW OFFICER CERTIFICATION COUNCIL)",
            "identifier": "23-313744",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FMCSA / NRCME",
            "identifier": "7736166385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.