DR. ANTHONY CARL HEAVERLO D.C.
NPI 1376896431
Chiropractor in Prior Lake, MN

Active since October 25, 2012
16670 FRANKLIN TRL SE, PRIOR LAKE, MN 55372(952) 447-5770(952) 447-5780 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Anthony Carl Heaverlo D.c. NPPES

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

DR. ANTHONY CARL HEAVERLO D.C. (NPI 1376896431) is an individual chiropractor in Prior Lake, Minnesota, licensed in Minnesota (5704) and active in the NPI registry since October 2012. He is a graduate of Northwestern College Of Chiropractic (2012).

NPPES Registry Identity

NPI1376896431
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ANTHONY CARL HEAVERLOCredential: D.C.
Location Address16670 FRANKLIN TRL SEPrior Lake, MN 55372-2924
Mailing Address16670 Franklin Trl SePrior Lake, MN 55372-2924 · (952) 447-5770 · Fax (952) 447-5780
Fax(952) 447-5780
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2012
Enumeration DateOctober 25, 2012
NPI 1376896431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 5704
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.
16670 FRANKLIN TRL SE, Prior Lake, MN 55372

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Anthony Carl Heaverlo D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466680061
PECOS Enrollment IDI20140103001110

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
16670 FRANKLIN TRL SE, SUITE 120C
PRIOR LAKE, MN 55372
Dentist (General Practice)
16670 FRANKLIN TRL SE
PRIOR LAKE, MN 55372
Home Delivered Meals
16670 FRANKLIN TRL SE, 240
PRIOR LAKE, MN 55372
Dentist (General Practice)
16670 FRANKLIN TRL SE
PRIOR LAKE, MN 55372
Dentist (General Practice)
16670 FRANKLIN TRL SE
PRIOR LAKE, MN 55372
Assisted Living Facility
16670 FRANKLIN TRL SE, SUITE 120A
PRIOR LAKE, MN 55372

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 Anthony Heaverlo's NPI number?

The NPI number for Anthony Heaverlo is 1376896431. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Anthony Heaverlo located?

Anthony Heaverlo practices at 16670 Franklin Trl SE, Prior Lake, MN 55372. The listed phone number is (952) 447-5770.

What is Anthony Heaverlo's specialty?

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

Is Anthony Heaverlo enrolled in Medicare?

Yes. Anthony Heaverlo is registered in the Medicare PECOS enrollment system.

What insurance does Anthony Heaverlo accept?

Health plans from HealthPartners and Medica list Anthony Heaverlo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anthony Heaverlo was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.