KYLE M HEFFERNAN (NPI# 1871919530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871919530 |
| Entity Type | Individual |
| Full Name | KYLE M HEFFERNAN |
| Credential | DC |
| Practice Address |
14050 Pilot Knob Rd Apple Valley MN 55124-6647 |
| Mailing Address |
1527 Superior St Webster City IA 50595-2961 |
| Practice Telephone | 9524235050 |
| Practice Fax Number | 9524234650 |
| Mailing Telephone | 5158323033 |
| Mailing Fax Number | 5158321769 |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5970 | MN | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 072381 | IA | Chiropractic Providers |
| Street Address |
14050 PILOT KNOB RD |
| City | APPLE VALLEY |
| State | MN |
| Zip Code | 55124-6647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689695298 | Robert Thielman | Dentist | 14050 Pilot Knob Rd, Suite 108, Apple Valley, MN 55124-6647 | 2006-07-21 |
| 1376995076 | Ashley Kendall | Dietitian, Registered | 14050 Pilot Knob Rd, Apple Valley, MN 55124-6647 | 2016-07-06 |
| 1598165862 | Heffernan Enterprises Pllc | Clinic/Center | 14050 Pilot Knob Rd, Apple Valley, MN 55124-6647 | 2014-08-24 |
| 1073953832 | Eagan Valley Dental Center | Dentist | 14050 Pilot Knob Rd, Apple Valley, MN 55124-6647 | 2013-06-26 |
| 1083059299 | Pearl Dialysis, LLC | Clinic/Center | 14050 Pilot Knob Rd, Ste 100, Apple Valley, MN 55124-6647 | 2013-05-01 |
| 1144490723 | East Valleydental, Pa | Clinic/Center | 14050 Pilot Knob Rd, Suite 108, Apple Valley, MN 55124-6647 | 2008-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574672 | Carol Susan Elstad | Counselor | Mn Mental Health Clinics, 15160 Foliage Ave Suite 140, Apple Valley, MN 55124 | 2020-09-23 |
| 1629612569 | Gadaa Care Transportation | Non-emergency Medical Transport (VAN) | 7296 157th St W, Apple Valley, MN 55124 | 2019-11-04 |
| 1356831515 | Dustin W Seabolt | Hearing Instrument Specialist | 15071 Dunwood Trl, Apple Valley, MN 55124 | 2018-05-14 |
| 1639687189 | Dentalign P.a. | Clinic/Center | 15875 Emperor Avenue, Apple Valley, MN 55124 | 2018-01-18 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1821523028 | Robin Marie Parker | Nurse Practitioner | 14135 Cedar Avenue South, Suite 100, Apple Valley, MN 55124 | 2017-04-25 |
| 1134578826 | Ellen Denise Jacobson | Dentist | 14682 Pennock Avenue South, Apple Valley, MN 55124 | 2016-06-03 |
| 1831568708 | Clearriver Inc. | Home Health | 13790 Elkhart Rd, Apple Valley, MN 55124 | 2015-09-21 |
| 1265826879 | Next Level Fitness Co | Public Health or Welfare | 14645 Felton Ct, 104, Apple Valley, MN 55124 | 2015-03-20 |
| 1568872216 | Jon Butala | Marriage & Family Therapist | 4300 W 147th St., Suite 204, Apple Valley, MN 55124 | 2014-05-04 |
| Find all providers in zip 55124 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544034 | Parker Dahlgren | Chiropractor | 145 Beaumont Ct, Apple Valley, MN 55124-5008 | 2019-02-12 |
| 1609365865 | Ellen Weis Chiropractic LLC | Chiropractor | 15368 Frost Path, Apple Valley, MN 55124-6067 | 2018-05-03 |
| 1982126926 | Apex Family Chiropractic LLC | Chiropractor | 15678 Pilot Knob Road, Suite 120, Apple Valley, MN 55124 | 2017-07-12 |
| 1487052361 | Cmh Chiropractic, Pllc | Chiropractor | 13735 Pennock Ave, Apple Valley, MN 55124-6103 | 2014-12-09 |
| 1164769386 | Eric James Ortman | Chiropractor | 6614 133rd St W, Apple Valley, MN 55124-7912 | 2013-01-08 |
| 1821364365 | Leary Sport and Spine Chiropractic Inc. | Chiropractor | 18564 Us Highway 18 Suite, 303, Apple Valley, CA 92307 | 2012-03-29 |
| 1871891523 | Cornerstone Health and Wellness Center Pllc | Chiropractor | 7300 147th St. W, Suite 304, Apple Valley, MN 55124-7538 | 2011-03-04 |
| 1881910180 | Lance D Stromberg | Chiropractor | 7000 151st St W, Apple Valley, MN 55124-5985 | 2010-04-12 |
| 1093943912 | Chiropractic Wellness Center Inc. | Chiropractor | 7373 147th St W Ste 150, Apple Valley, MN 55124-7532 | 2009-06-30 |
| 1962640698 | Justin D. Backlund | Chiropractor | 14732 Durham Ct, Apple Valley, MN 55124-7760 | 2009-02-03 |
| Find all providers in APPLE VALLEY | ||||
| City | APPLE VALLEY |
| Zip Code | 55124 |
Please comment or provide details below to improve the information on KYLE M HEFFERNAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.