Individual provider Active NPI

Craig M Hescheles, DMD

  • Periodontics
  • Boynton Beach, FL
National Provider Identifier
1205140407
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN14588 Issued in FL
Practice address
8190 Jog Rd
Suite 210
Boynton Beach, FL 33472-2912
Phone
(561) 752-8640
NPI assigned
Jul 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN14588 FL Primary

Addresses

Primary practice location

8190 Jog Rd
Suite 210
Boynton Beach, FL 33472-2912

Mailing address

8190 Jog Rd
Suite 210
Boynton Beach, FL 33472-2912
Phone (561) 752-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160229002485 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 1557666518

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Craig M Hescheles DMD PA Periodontics Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1205140407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 JOG RD",
            "address_2": "SUITE 210",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722912",
            "telephone_number": "561-752-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 JOG RD",
            "address_2": "SUITE 210",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334722912",
            "telephone_number": "561-752-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESCHELES",
        "first_name": "CRAIG",
        "middle_name": "M",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-29",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN14588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.