Heather Marie Heil, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

5164 Issued in WI

Practice address

N3946 Columbia Ave
Kaukauna, WI 54130-7552

Phone

(920) 788-6280

Fax

(920) 788-8043

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 WI

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

State licenses

Practice roles

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.

• Dental Expressions SC

  • Dental Clinic/Center
  • Freedom, WI
  • NPI 1588081210
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275758716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E CARRINGTON LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137669",
            "telephone_number": "920-739-6259",
            "fax_number": "920-788-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N3946 COLUMBIA AVE",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541307552",
            "telephone_number": "920-788-6280",
            "fax_number": "920-788-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Hagerstrom, MSN, APNP, AGPC-BC
• Lorraine Hansen
• Noelle Beth Hauser, OTR
• Haven Heritage Adult Family Home LLC
• Heather a. Reardon LLC (Creative Counseling Center)
• Angela Marie Heinkel, PA-C
• Carol Ann Higgins, P.T.A.
• Kimberly Huntley
• Laura Huss, DPT
• Nichole L Huss, LPC

• Dentist in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Dentist in Wisconsin

• 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.