Organization Active NPI

Heritage Family Dental, LLC

Doing business as Heritage Family Dental

  • Dental Clinic/Center
  • Plainfield, IN
National Provider Identifier
1013804285
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HERITAGE FAMILY DENTAL, LLC
Doing business as
Heritage Family Dental
Practice address
1858 Stafford Rd
Plainfield, IN 46168-2339
Phone
(317) 682-0884
NPI assigned
Jun 20, 2025
Last updated
Jun 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Jamie Vilk
Title
Manager
Phone
(217) 549-6928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

1858 Stafford Rd
Plainfield, IN 46168-2339

Mailing address

522 E Jasper St
Paris, IL 61944-2437
Phone (217) 463-4110

Other names 1

  • Heritage Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

522 E Jasper St
Paris, IL 61944
Phone (217) 466-3090

1858 Stafford Rd
Plainfield, IN 46168
Phone (317) 839-4100

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1013804285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 E JASPER ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442437",
            "telephone_number": "217-463-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 STAFFORD RD",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682339",
            "telephone_number": "317-682-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "VILK",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-549-6928"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.