Individual provider Active NPI

Marsha Kay Heikkinen, D.C., DICCP

  • Chiropractor
  • Mesquite, TX
National Provider Identifier
1962571026
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4586 Issued in TX
Practice address
820 E Cartwright Rd
Suite 133
Mesquite, TX 75149-6063
Phone
(972) 285-3232
Fax
(972) 285-5993
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4586 TX Primary

Addresses

Primary practice location

820 E Cartwright Rd
Suite 133
Mesquite, TX 75149-6063

Mailing address

1714 Rosbury CT
Mesquite, TX 75181-3540
Phone (972) 222-3737

Other identifiers 1

IdentifierTypeStateIssuer
82K732OtherTXBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4586TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1962571026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 ROSBURY CT",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751813540",
            "telephone_number": "972-222-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E CARTWRIGHT RD",
            "address_2": "SUITE 133",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496063",
            "telephone_number": "972-285-3232",
            "fax_number": "972-285-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKKINEN",
        "first_name": "MARSHA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.C., DICCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "82K732",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.