Michlynn Rae Heide, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5257 Issued in MN

Practice address

15 8TH Ave N
Hopkins, MN 55343-7611

Phone

(952) 933-5085

Fax

(952) 931-2159

NPI assigned

Aug 3, 2009

Last updated

Jun 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2009

Medicare assignment

May accept Medicare assignment

Group practices

DMR Clinic Rogers LLCGroup PAC ID 4082999818, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• DMR Clinic Rogers LLC

  dba Ripple Health Clinic

  • Chiropractor
  • Otsego, MN
  • NPI 1356892285
  Medicare reassignment Care Compare group NPD Authorized official
• Finish Line Chiropractic P.a.

  dba Finish Line Chiropractic

  • Chiropractor
  • Savage, MN
  • NPI 1639349269
  NPD (past)
• Finish Line Wellness

  • Acupuncturist
  • Savage, MN
  • NPI 1447797162
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1942431358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085",
            "fax_number": "952-931-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 8TH AVE N",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437611",
            "telephone_number": "952-933-5085",
            "fax_number": "952-931-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDE",
        "first_name": "MICHLYNN",
        "middle_name": "RAE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "350004449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP ID NUMBER",
            "identifier": "37M47FI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID NUMBER",
            "identifier": "1639349269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Hatch, LADC
• Hatcher and Bomstad DDS LLC
• Alan Stuart Hatcher, DDS
• Julie Hauring, DC
• Hearing Care Specialists Inc
• Quen'Taejah Shamari Henderson Walker
• Betty J Hengelmann, P.T.
• Jennifer Jo Henke, D.P.T
• Elise Herman, LMT
• Robert E Hersman, O.D. OPTOMETRIST

• Chiropractor in Hopkins, MN
• Providers in Hopkins, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.