Eugene M Heavlin, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4096 Issued in AL

Practice address

1550 Opelika Rd
Suite 6-167
Auburn, AL 36830-7618

Phone

(334) 466-9970

NPI assigned

Sep 14, 2006

Last updated

Jan 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Raymond L. Bolt, DMD PC

  • Dental Clinic/Center
  • Auburn, AL
  • NPI 1083138416
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485388800000",
    "number": "1134224918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OPELIKA ROAD",
            "address_2": "SUITE 6-167",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-466-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OPELIKA RD",
            "address_2": "SUITE 6-167",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368307618",
            "telephone_number": "334-466-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVLIN",
        "first_name": "EUGENE",
        "middle_name": "M",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA LICENSE NUMBER",
            "identifier": "4096",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hear My Words
• Jenna Le Heard, MS, RDN, LD
• Hearing Professionals of Alabama
• Hearthstone Hearing, LLC
• Katherine Dumas Heath
• Dylan Hebert, M.ED., NCC
• Kristen Helms, PHARMD
• Kelly Henderson, NP
• Kristin Hendricks
• Laura Savage Herring

• General Practice Dentistry in Auburn, AL
• Providers in Auburn, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; 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.