Individual provider Active NPI

Robert I Heden, DPM

  • Primary Podiatric Medicine Podiatrist
  • Marietta, GA
National Provider Identifier
1053470732
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
000457 Issued in GA
Practice address
4439 Roswell Rd
Marietta, GA 30062-6452
Phone
(770) 977-8221
Fax
(770) 977-8222
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 000457 GA Primary

Addresses

Primary practice location

4439 Roswell Rd
Marietta, GA 30062-6452

Mailing address

4439 Roswell Rd
Marietta, GA 30062-6452
Phone (770) 977-8221

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

LicenseStateTypeSpecialty
457GAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
East Cobb Foot & Ankle Care P.C. Primary Podiatric Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1053470732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4439 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626452",
            "telephone_number": "770-977-8221",
            "fax_number": "770-977-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626452",
            "telephone_number": "770-977-8221",
            "fax_number": "770-977-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDEN",
        "first_name": "ROBERT",
        "middle_name": "I",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "000457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.