Jason Ira Heideman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26992 Issued in FL

Practice address

6268 North University Drive
Tamarac, FL 33321

Phone

(732) 947-8445

NPI assigned

Jun 2, 2021

Last updated

Jun 21, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1164098802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N HILLS DR APT 39",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212447",
            "telephone_number": "732-947-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 NORTH UNIVERSITY DRIVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "33321",
            "telephone_number": "732-947-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEMAN",
        "first_name": "JASON",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearing Aid Man, Inc.
• Hearing AIDS Associates Inc
• Heartland of Tamarac FL LLC (Heartland of Tamarac)
• Amanda Grace Hecker, M.D.
• Hector Di Carlo, MD, PA
• Jared Noah Helfant, DDS
• Helping Hands Companionship Services
• Trevor Thomas Henderson, PHARMD
• Pamela Ann Hendrix, RN, IBCLC, RLC
• Henry & Ed Transportation Inc

• General Practice Dentistry in Tamarac, FL
• Providers in Tamarac, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.