David Heath, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

12012135A Issued in IN

Practice address

204 N Maple St
Pittsboro, IN 46167-9164

Phone

(317) 892-4994

Fax

(317) 892-4409

NPI assigned

May 29, 2014

Last updated

Jan 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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 IN

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

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

• Heath Dental, LLC

  • Dental Clinic/Center
  • Pittsboro, IN
  • NPI 1962895201
  Authorized official Same address or phone

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1235541954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 NORTH MAPLE ST.",
            "address_2": "PO BOX 314",
            "city": "PITTSBORO",
            "state": "IN",
            "postal_code": "46167",
            "telephone_number": "317-892-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAPLE ST",
            "city": "PITTSBORO",
            "state": "IN",
            "postal_code": "461679164",
            "telephone_number": "317-892-4994",
            "fax_number": "317-892-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012135A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi R. Freeman
• Carter Gianacakos
• Healing Path Therapy P.C.
• Healthcare Products Delivery Inc.
• Heath Dental, LLC
• Brandee Hetle
• Grace Johnson
• Cassandra Jo Lind, PMHNP
• Middle TWP Trustee (Pittsboro Middle Township Fire Rescue)
• Grace Modolani Olanusi

• Dentist in Pittsboro, IN
• Providers in Pittsboro, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.