NPIMap

Organization Active NPI

Dr John F Blattner & Dr. Dwight D Heberer PC

  • Customized Equipment (DME)
  • Waterloo, IL
National Provider Identifier
1215958855
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
019016532 Issued in IL
Legal business name
DR JOHN F BLATTNER & DR. DWIGHT D HEBERER PC
Practice address
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Phone
(618) 939-4042
Fax
(618) 939-5404
NPI assigned
Jul 21, 2006
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Dr. John F Blattner, D.M.DNPI 1720008329
Title
President
Phone
(618) 939-4042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 019016532 IL
Customized Equipment (DME) 332BC3200X 019016532 IL Primary
General Practice Dentistry 1223G0001X 019016532 IL

Addresses

Primary practice location

226 Westview Plaza Dr.
Waterloo, IL 62298-1253

Mailing address

226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Phone (618) 939-4042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1215958855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 WESTVIEW PLAZA DR.",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981253",
            "telephone_number": "618-939-4042",
            "fax_number": "618-939-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 WESTVIEW PLAZA DR.",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981253",
            "telephone_number": "618-939-4042",
            "fax_number": "618-939-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JOHN F BLATTNER & DR. DWIGHT D HEBERER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "BLATTNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-939-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "019016532",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "019016532",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019016532",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.