Karl Andrew Heinzelmann, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

9250 Issued in GA

Practice address

11775 Pointe PL
Suite 104
Roswell, GA 30076-4636

Phone

(770) 475-3398

Fax

(770) 475-2780

NPI assigned

Nov 15, 2006

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 GA

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

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265505648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BROOK MANOR CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300223242",
            "telephone_number": "770-360-9004",
            "fax_number": "770-475-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11775 POINTE PL",
            "address_2": "SUITE 104",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764636",
            "telephone_number": "770-475-3398",
            "fax_number": "770-475-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZELMANN",
        "first_name": "KARL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "9250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Performance Chiropractic,LLC
• Kia Heard
• Valerie Paige Hebert
• Mitchell Wayne Hecht, M.D.
• Molly K Heimbecker, PA-C
• Larry E Heit, M.D.
• Stacey Cathleen Heit, MD
• Janice Lee Held, MA LPC
• Casey Helgesen, RBT
• Lynn Marie Hemera, PT, DPT

• Periodontics in Roswell, GA
• Providers in Roswell, GA by specialty
• Periodontics in Georgia

• 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.

Verify at the official NPI Registry.