Organization Active NPI

Brent a Heyn, D.C. & Windy D. Heyn, D.C., PTRS.

  • Chiropractor
  • South Hero, VT
National Provider Identifier
1821158718
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRENT A HEYN, D.C. & WINDY D. HEYN, D.C., PTRS.
Doing business as
Lighthouse Chiropractic
Practice address
8 Ferry Rd
South Hero, VT 05486-4400
Phone
(802) 372-5800
Fax
(802) 372-5800
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Windy Dawn Heyn, D.C.NPI 1285726414
Title
Partner
Phone
(802) 372-5800

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 Primary

Addresses

Primary practice location

8 Ferry Rd
South Hero, VT 05486-4400

Mailing address

8 Ferry Rd
South Hero, VT 05486-4400
Phone (802) 372-5800

Other identifiers 2

IdentifierTypeStateIssuer
1010946MedicaidVT
LIGH00068299OtherVTBLUECROSS BLUESHIELD

Other names 1

  • Lighthouse Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050121000276 VT Part B Supplier - Clinic/Group Practice 4284683798 Receives reassigned benefits from 2 practitioners
Practice locations: South Hero, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D2295695Lighthouse Chiropractic/Vermont Dot Physicals8 Ferry Rd, South Hero, VT 05486Certificate of waiverDec 14, 2027

National Provider Directory

National Provider Directory

Locations

8 Ferry Rd
South Hero, VT 05486
Phone (802) 372-5800

Practitioners & affiliated clinicians

Practitioners 2

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1821158718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 FERRY RD",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "054864400",
            "telephone_number": "802-372-5800",
            "fax_number": "802-372-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 FERRY RD",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "054864400",
            "telephone_number": "802-372-5800",
            "fax_number": "802-372-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT A HEYN, D.C. & WINDY D. HEYN, D.C., PTRS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "HEYN",
        "authorized_official_first_name": "WINDY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "802-372-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010946",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "LIGH00068299",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Hero, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.