Heritage Creek Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

08515 Issued in IA

Legal business name

HERITAGE CREEK DENTAL LLC

Doing business as

Heritage Creek Dental

Practice address

11088 Hickman Rd
Clive, IA 50325-3740

Phone

(515) 278-2253

Fax

(515) 278-2392

NPI assigned

May 18, 2010

Last updated

May 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clinton Scott Timmerman, D.D.S.NPI 1598958548

Title

President

Phone

(515) 783-7129

Specialties & licenses 1

Addresses

Other names 1

• Heritage Creek Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clinton Scott Timmerman, DDS

  • General Practice Dentistry
  • Canon City, CO
  • NPI 1598958548
  NPD (past) Authorized official
• Leslie Anne Ehlen, D.D.S.

  • General Practice Dentistry
  • Clive, IA
  • NPI 1639377369
  NPD (past)

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1033438957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11088 HICKMAN RD",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253740",
            "telephone_number": "515-278-2253",
            "fax_number": "515-278-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11088 HICKMAN RD",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503253740",
            "telephone_number": "515-278-2253",
            "fax_number": "515-278-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CREEK DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-783-7129",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helping Hands of Iowa LLC
• Morgan Michelle Hemer, ARNP
• Christina L Hendricks, ARNP
• Jodi Henning, R.N.
• Alishea Mekael Henze, M.A., CCC-SLP
• Johanna Hesseltine, PMHNP
• Janice I Hill, MSW, LISW
• Natalie Hill, LMT
• Nicholas L Hilpipre, M.D.
• Trisha Hittenmiller, ARNP

• Dentist in Clive, IA
• Providers in Clive, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.