Heitzmann Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

355510 Issued in MS

Legal business name

HEITZMANN DENTISTRY

Doing business as

Magnolia family dental care

Practice address

207 W Jackson St Ste B
Ridgeland, MS 39157-2355

Phone

(601) 707-5585

Fax

(601) 707-5586

NPI assigned

Dec 9, 2010

Last updated

Dec 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Casey Brian Heitzmann, DMDNPI 1316259153

Title

Dentist

Phone

(601) 707-5585

Specialties & licenses 2

Addresses

Other names 1

• Magnolia family dental care Doing business as

Locations

Practitioners 2

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.

• Casey Brian Heitzmann, DMD

  • Dentist
  • Ridgeland, MS
  • NPI 1316259153
  NPD (past) Authorized official
• Emily Ann Heitzmann, D.M.D.

  • Pediatric Dentistry
  • Ridgeland, MS
  • NPI 1669635512
  NPD (past)

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1275836447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572355",
            "telephone_number": "601-707-5585",
            "fax_number": "601-707-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W JACKSON ST STE B",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572355",
            "telephone_number": "601-707-5585",
            "fax_number": "601-707-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEITZMANN DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "HEITZMANN",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "601-707-5585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "355510",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "349108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia family dental care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Care Medical Respiratory & Rehab
• Health Heroes of Mississippi, Inc. (Health Heroes of Mississippi)
• Heathcat, Inc (Ridgeland Discount Drugs)
• Connie Renee Hefner, LPTA
• Brittany Kerr Heinsz, SLP
• Casey Brian Heitzmann, DMD
• Emily Ann Heitzmann, D.M.D.
• Cornelius Henderson, DPT
• James Keeton Henderson, LPC
• Branden Henry, PHD.M.A., LPC, LMFTA

• Dentist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.