NPIMap

Organization Active NPI

J Fredrick Heaton DMD PA

  • Endodontics
  • Easton, MD
National Provider Identifier
1124240296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7126 Issued in MD
Legal business name
J FREDRICK HEATON DMD PA
Practice address
556-B Cynwood Drive
Easton, MD 21601-3886
Phone
(410) 822-1442
Fax
(410) 822-1443
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. J Fredrick Heaton, DMD
Title
President
Phone
(410) 822-1442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 7126 MD Primary

Addresses

Primary practice location

556-B Cynwood Drive
Easton, MD 21601-3886

Mailing address

556-B Cynwood Drive
Easton, MD 21601-3886
Phone (410) 822-1442

National Provider Directory

National Provider Directory

Locations

556 Cynwood Dr
Ste B
Easton, MD 21601
Phone (410) 822-1442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124240296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556-B CYNWOOD DRIVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013886",
            "telephone_number": "410-822-1442",
            "fax_number": "410-822-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556-B CYNWOOD DRIVE",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013886",
            "telephone_number": "410-822-1442",
            "fax_number": "410-822-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J FREDRICK HEATON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-822-1442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "7126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.