Active NPI
Katherine Ellen Heilig, DMD
- General Practice Dentistry
- Belleville, IL
National Provider Identifier
1225166374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 2810 Frank Scott Parkway West
Suite 800
Belleville, IL 62223 - Phone
- (618) 235-9696
- Fax
- (618) 235-9812
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
2810 Frank Scott Parkway West
Suite 800
Belleville, IL 62223
Mailing address
2810 Frank Scott Parkway West
Suite 800
Belleville, IL 62223
Phone (618) 235-9696
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150330000745 | IL | Practitioner - Oral Surgery | 2567789621 | Practice locations: Belleville, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Mount Dental, LLC | General Practice | 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": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225166374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 FRANK SCOTT PARKWAY WEST",
"address_2": "SUITE 800",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62223",
"telephone_number": "618-235-9696",
"fax_number": "618-235-9812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 FRANK SCOTT PARKWAY WEST",
"address_2": "SUITE 800",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "62223",
"telephone_number": "618-235-9696",
"fax_number": "618-235-9812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEILIG",
"first_name": "KATHERINE",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.