Individual provider Active NPI

Heather Ann Rogers King, DC

  • Chiropractor
  • Waukesha, WI
National Provider Identifier
1912089228
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3659-012 Issued in WI
Practice address
2717 N Grandview Blvd
Ste 101
Waukesha, WI 53188-1672
Phone
(262) 309-6795
Fax
(262) 309-6795
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3659-012 WI Primary

Addresses

Primary practice location

2717 N Grandview Blvd
Ste 101
Waukesha, WI 53188-1672

Mailing address

2717 N Grandview Blvd
Ste 101
Waukesha, WI 53188-1672
Phone (262) 349-9370

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000239 WI Practitioner - Chiropractic 1850368119 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zelm Chiropractic Center SCGroup PAC ID 1153426523, 6 clinicians

Practice addresses (Care Compare)

4861 Larson Beach Rd
McFarland, WI 53558-8735
Phone (608) 838-7723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3659-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Zelm Chiropractic Center SC Chiropractor CurrentSince Apr 1, 2017 Accepting new patients
The Chiropractors, LLC Chiropractor Past Accepting new patients
Golf Creek Family Chiropractic PastSince Jan 1, 1990 Accepting new patients
First Health Assocates, SC Chiropractor PastSince Nov 13, 2000 Accepting new patients
Breyan Radeck DC, LLC Chiropractor PastSince Aug 1, 2012 Accepting new patients
Quick Fix After Hours Chiropractic Care, LLC PastSince Apr 1, 2017 Accepting new patients

Locations

4861 Larson Beach Rd
McFarland, WI 53558
Phone (608) 838-7723

Organizations & group practices 6

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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1912089228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "STE 101",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "262-349-9370",
            "fax_number": "262-349-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 N GRANDVIEW BLVD",
            "address_2": "STE 101",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531881672",
            "telephone_number": "262-309-6795",
            "fax_number": "262-309-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS KING",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3659-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.