Individual provider Active NPI

Joan L Blackford-Heintz, DC

  • Chiropractor
  • Bradenton, FL
National Provider Identifier
1942266358
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH5959 Issued in FL
Practice address
5314 26TH St W
Bradenton, FL 34207-3011
Phone
(941) 751-1147
Fax
(941) 751-6952
NPI assigned
Apr 25, 2006
Last updated
Aug 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH5959 FL Primary

Addresses

Primary practice location

5314 26TH St W
Bradenton, FL 34207-3011

Mailing address

5314 26TH St W
Bradenton, FL 34207-3011
Phone (941) 751-1147

Other names 1

  • Joan L Blackford Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000758 FL Practitioner - Chiropractic 2365628773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1988
Medicare assignment
May accept Medicare assignment
Group practices
Joan Blackford-Heintz, PA.Group PAC ID 2466638879, 2 clinicians

Practice addresses (Care Compare)

5314 26TH St W
Bradenton, FL 34207-3011
Phone (941) 751-1147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH5959FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joan Blackford-Heintz, PA. Chiropractor CurrentSince Aug 12, 2010 Accepting new patients
Fielding Chiropractic Clinic, LLC PastSince Aug 12, 2010 Accepting new patients

Locations

5314 26th St W
Bradenton, FL 34207
Phone (941) 751-1147

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1942266358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073011",
            "telephone_number": "941-751-1147",
            "fax_number": "941-751-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 26TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342073011",
            "telephone_number": "941-751-1147",
            "fax_number": "941-751-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKFORD-HEINTZ",
        "first_name": "JOAN",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH5959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "BLACKFORD",
            "middle_name": "L",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.