Organization Active NPI

Heater Chiropractic, LC

  • Chiropractor
  • Lees Summit, MO
National Provider Identifier
1922387646
Registry record updated Sep 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2011019802 Issued in MO
Legal business name
HEATER CHIROPRACTIC, LC
Practice address
724 NW Commerce Dr
Lees Summit, MO 64086-5710
Phone
(816) 525-3400
Fax
(816) 525-3808
NPI assigned
Aug 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2011

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

Authorized official

Name
Dr. Brent Heater, DCNPI 1689953499
Title
Chiropractor/Owner
Phone
(816) 525-3400

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 2011019802 MO Primary

Addresses

Primary practice location

724 NW Commerce Dr
Lees Summit, MO 64086-5710

Mailing address

724 NW Commerce Dr
Lees Summit, MO 64086-5710
Phone (816) 525-3400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110921000534 MO Part B Supplier - Clinic/Group Practice 5496926586 Receives reassigned benefits from 1 practitioner
Practice locations: Lees Summit, MO

National Provider Directory

National Provider Directory

Locations

724 NW Commerce Dr
Lees Summit, MO 64086
Phone (816) 525-3400

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": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316822400000",
    "number": "1922387646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 NW COMMERCE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865710",
            "telephone_number": "816-525-3400",
            "fax_number": "816-525-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 NW COMMERCE DR",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640865710",
            "telephone_number": "816-525-3400",
            "fax_number": "816-525-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATER CHIROPRACTIC, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2011-09-24",
        "status": "A",
        "authorized_official_last_name": "HEATER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "816-525-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011019802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.