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Deactivated NPI 1952520512 Deactivated / Inactive NPI Male Practitioner

Dr. Kenneth W Heater , DC

Chiropractor • Willcox, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Heater has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 24, 2007
NPI Deactivation Date November 27, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Heater, DC was a registered Chiropractor practicing in Willcox, AZ. Throughout an active medical career spanning 18 years, Dr. Heater provided care at the practice location at 780 W REX ALLEN DR until profile deactivation on 2025-11-27.

Practice Location & Contact Primary Location

Practice Address

780 W Rex Allen Dr

Willcox, AZ 856431140

Telephone 5203842285
Fax 5203842286

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Willcox, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 26.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Willcox, AZ (2102 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License AZ 936

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1417999558

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 27, 2025

Record deactivated on November 27, 2025

NPI Profile Active June 29, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 29, 2010

Registered at 780 W REX ALLEN DR, WILLCOX, AZ 856431140 (Tel: 5203842285)

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Updated Business Mailing Address June 29, 2010

Registered at PO BOX 460, WILLCOX, AZ 856440460 (Tel: 5203842285)

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Provider Name / Credentials Updated June 29, 2010

Recorded as KENNETH HEATER, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2010

Chiropractor (License #936 in AZ)

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Initial NPI Registration & Enumeration April 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952520512
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: June 29, 2010
Deactivation Date: November 27, 2025

Mailing Address

Po Box 460

Willcox, AZ 856440460

Phone: 5203842285

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.