Active NPI
Thomas B Heffelfinger Jr., DDS
- Dentist
- Potomac, MD
National Provider Identifier
1033323365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3916
- Practice address
- 9001 River Rd
Potomac, MD 20854-4625 - Phone
- (301) 469-9100
- Fax
- (301) 469-6572
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3916 | MD | Primary |
Addresses
Primary practice location
9001 River Rd
Potomac, MD 20854-4625
Mailing address
9001 River Rd
Potomac, MD 20854-4625
Phone (301) 469-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H141792098830 | Other | MD | DRIVERS LICENSE |
| 3916 | Other | MD | DENTAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3916 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033323365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 RIVER RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544625",
"telephone_number": "301-469-9100",
"fax_number": "301-469-6572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 RIVER RD",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208544625",
"telephone_number": "301-469-9100",
"fax_number": "301-469-6572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFELFINGER",
"first_name": "THOMAS",
"middle_name": "B",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "3916",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "H141792098830",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE",
"identifier": "3916",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Potomac, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.