Tracy Krafthefer Heeter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D0813 Issued in SD

Practice address

685 N Lacrosse St
Rapid City, SD 57701-1492

Phone

(605) 721-8919

Fax

(605) 394-5217

NPI assigned

Feb 2, 2009

Last updated

Feb 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Community Health Center of the Black Hills Inc

  dba Complete Health

  • Federally Qualified Health Center (FQHC)
  • Rapid City, SD
  • NPI 1669508677
  NPD (past)

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1083852826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E MONROE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011400",
            "telephone_number": "605-721-8919",
            "fax_number": "605-394-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 N LACROSSE ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577011492",
            "telephone_number": "605-721-8919",
            "fax_number": "605-394-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETER",
        "first_name": "TRACY",
        "middle_name": "KRAFTHEFER",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-02",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D0813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Heaton, DO
• Teri Dawn Heavlin, CNP
• Rebecca Lavon Hedeen, OTR/L
• Mindy G Hedlund, PHD
• Nicole Ann Heenan
• Megan Heggen
• Beth Heier, PT, DPT
• Karl John Heilman III, MD
• Jacob Heinen
• Ting Li Heinert, L.M.T

• General Practice Dentistry in Rapid City, SD
• Providers in Rapid City, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.