Heaberlin Chiropractic & Acupuncture LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2011003626 Issued in MO

Legal business name

HEABERLIN CHIROPRACTIC & ACUPUNCTURE LLC

Practice address

1201 Forum Dr Ste a
Rolla, MO 65401-2587

Phone

(573) 340-3199

Fax

(573) 426-2225

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Glenn Heaberlin, D.C., MTAANPI 1235438615

Title

Ceo

Phone

(859) 893-8184

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Glenn Heaberlin, D.C.

  • Chiropractor
  • Rolla, MO
  • NPI 1235438615
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1992221741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 COUNTRY OAKS DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758492",
            "telephone_number": "859-893-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FORUM DR STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012587",
            "telephone_number": "573-340-3199",
            "fax_number": "573-426-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEABERLIN CHIROPRACTIC & ACUPUNCTURE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "HEABERLIN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-893-8184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., MTAA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2011003626",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100402910",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen S Harris, RN
• Steven Dale Harrison, DDS, MS, PC
• Holly Hartong, M.A. CCC-SLP
• Stephanie Lynn Hawley, DMD
• Edith Gale Hays, LMT
• Jacob Glenn Heaberlin, D.C.
• Sandra K Headrick, A.P.R.N.
• Healing Hearts Counseling LLC
• Jeffrey D Heese, CRNA
• Becky Heidotten

• Chiropractor in Rolla, MO
• Providers in Rolla, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.