Ted J Heinz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019018659 Issued in IL

Practice address

5901 Dempster St Ste 202
Morton Grove, IL 60053-3023

Phone

(847) 663-1422

Fax

(847) 663-1424

NPI assigned

Mar 28, 2007

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1215056643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 WAIKIKI DR",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161167",
            "telephone_number": "847-298-0341",
            "fax_number": "847-663-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 DEMPSTER ST STE 202",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533023",
            "telephone_number": "847-663-1422",
            "fax_number": "847-663-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "TED",
        "middle_name": "J",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019018659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geoffrey A Hanson
• Maha Salman Haroon, MD
• Emily Hatcher, PT
• Jessica He
• Health Outside the Box PLLC
• Michael Helwig
• Jesse Heng
• Jennifer Henry, PT
• Susan Henry, LCSW
• Elizabeth Marie Herbst, D.C.

• General Practice Dentistry in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.