Dr. Michael J Heiss Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DR. MICHAEL J HEISS DENTAL PLLC

Doing business as

Pearly Whites Dental Studio

Practice address

3471 Long Beach Rd
Oceanside, NY 11572-5424

Phone

(516) 600-0506

Fax

(516) 600-0508

NPI assigned

Jun 27, 2024

Last updated

Jul 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jordan Heiss, DDSNPI 1912697772

Title

Dentist/Ceo

Phone

(516) 425-2857

Specialties & licenses 1

Addresses

Other names 1

• Pearly Whites Dental Studio Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Heiss, DDS

  • Student in an Organized Health Care Education/Training Program
  • Jamaica, NY
  • NPI 1912697772
  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1215772694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725424",
            "telephone_number": "516-600-0506",
            "fax_number": "516-600-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 LONG BEACH RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725424",
            "telephone_number": "516-600-0506",
            "fax_number": "516-600-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL J HEISS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "HEISS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "516-425-2857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearly Whites Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Dimartino, LMHC
• Donald G. Russ, P.T., D.P.T., P.C.
• Jason Marc Donin, PT, DPT
• Kristen Ann Dougherty
• Dr Asher Diamond DDS PLLC
• Steven A. Drexler, M.D.
• Michael Drozdick, LMHC
• Rossy E. Duarte, DO
• James Anthony Ducey, MD
• Kaylin E Duffy

• Dentist in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.