BOB PHILLIP HEATON DC
NPI 1083688030
Chiropractor in Idaho Falls, ID

Active since February 15, 2006
1320 S AMMON ROAD, IDAHO FALLS, ID 83406(208) 529-2084(208) 529-2084 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bob Phillip Heaton Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOB PHILLIP HEATON DC (NPI 1083688030) is an individual chiropractor in Idaho Falls, Idaho, licensed in Idaho (CHIA 369) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1083688030
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBOB PHILLIP HEATONCredential: DC
Location Address1320 S AMMON ROADIdaho Falls, ID 83406-5810
Mailing Address1320 S. Ammon RoadIdaho Falls, ID 83406-5810 · (208) 529-2084 · Fax (208) 529-2084
Fax(208) 529-2084
Sole ProprietorYes
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJanuary 24, 2014
NPI 1083688030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in ID · CHIA 369
Definition
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.
1320 S AMMON ROAD, Idaho Falls, ID 83406

Other Identifiers 3

Other000010008077Blue Cross Blue Shield
Medicaid000953900ID
Medicare ID-Type Unspecified1671065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bob Heaton's NPI number?

The NPI number for Bob Heaton is 1083688030. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Bob Heaton located?

Bob Heaton practices at 1320 S Ammon Road, Idaho Falls, ID 83406. The listed phone number is (208) 529-2084.

What is Bob Heaton's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Bob Heaton was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.