Ivana Heinlein, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10405 Issued in SC

Practice address

1223 S Lake Dr
Lexington, SC 29073-6889

Phone

(803) 520-5580

NPI assigned

Mar 27, 2007

Last updated

Dec 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• American Dental Center, L.L.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Union, NJ
  • NPI 1972609451

  General Practice

  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1093833071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290736889",
            "telephone_number": "803-520-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S LAKE DR",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290736889",
            "telephone_number": "803-520-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLEIN",
        "first_name": "IVANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01822700",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "10405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthtouch, LLC
• Heart of Gold Home Health Services
• Denise Sue Heberlein, LPC/A
• Gabriella Ann Heelan
• Ikeyia Heflin
• Judson Lane Heldreth, D.C.
• Helex Medical Equipment
• David T Henderson, M.ED.
• Elizabeth Marie Henderson, MA, LPCA, NCC
• Erlinda Latonya Henderson, MSW, LBSW

• Dentist in Lexington, SC
• Providers in Lexington, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.