Organization Active NPI

Gold Standard Chiropractic PLLC

  • Chiropractor
  • Leon, IA
National Provider Identifier
1972076727
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
GOLD STANDARD CHIROPRACTIC PLLC
Practice address
302 N. Main
Leon, IA 50144-5014
Phone
(641) 446-3131
Fax
(641) 446-3130
NPI assigned
Jan 4, 2019
Last updated
Jan 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Dr. Daniel J Heffron, DCNPI 1760454748
Title
Manager
Phone
(641) 446-3131

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

302 N. Main
Leon, IA 50144-5014

Mailing address

PO Box 28
Leon, IA 50144-0028
Phone (641) 446-3131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201027002342 IA Part B Supplier - Clinic/Group Practice 8729498035 Receives reassigned benefits from 1 practitioner
Practice locations: Leon, IA

National Provider Directory

National Provider Directory

Locations

302 N Main St
Leon, IA 50144
Phone (641) 446-3131

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1972076727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501440028",
            "telephone_number": "641-446-3131",
            "fax_number": "641-446-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N. MAIN",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501445014",
            "telephone_number": "641-446-3131",
            "fax_number": "641-446-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD STANDARD CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "HEFFRON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "641-446-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.