David Heaney, M.D., Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

A30142 Issued in CA

Legal business name

DAVID HEANEY, M.D., INC.

Practice address

515 W Putnam Ave
Porterville, CA 93257-3256

Phone

(559) 783-1363

NPI assigned

May 17, 2007

Last updated

Oct 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cheryl Brooksher

Title

Bod: Secretary - Administrator

Phone

(559) 733-9707

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

David Heaney MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• David Heaney, M.D., Inc.

  • Nephrology Physician
  • Tulare, CA
  • NPI 1013123686
  NPD tax ID

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1972710127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHINOWTH ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932917896",
            "telephone_number": "559-733-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573256",
            "telephone_number": "559-783-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID HEANEY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "BROOKSHER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BOD: SECRETARY - ADMINISTRATOR",
        "authorized_official_telephone_number": "559-733-9707"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A30142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A301420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES - PRACTICING DR NPI",
            "identifier": "1013902733",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVPT Corporation (SmithCare Therapy Center)
• Kathleen Daguman
• Ameer M Dahar, M.D.
• Vivek Dalal, MD
• Daniel & Max LLC (Stanton Optical)
• Trina Rani Davis, RDHAP
• Gabriel Davoodpour
• Deboer Home
• Deboer Home #2
• Deboer Homes, Inc

• Nephrology Physician in Porterville, CA
• Providers in Porterville, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.