Eric Lendburgh Heisser, DDS, FAGD, FICOI

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021536 Issued in MI

Practice address

340 Seminole Rd
Norton Shores, MI 49444-3733

Phone

(231) 670-2851

Fax

(231) 739-5309

NPI assigned

Jun 12, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Laketown Family Dental, PLLC

  • Dental Clinic/Center
  • Norton Shores, MI
  • NPI 1689254757
  NPD Authorized official
• Port City Dental

  • General Practice Dentistry
  • Muskegon, MI
  • NPI 1043741424
  NPD (past)

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1285015537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3933 DEGRAVES CT",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494444382",
            "telephone_number": "231-670-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SEMINOLE RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494443733",
            "telephone_number": "231-670-2851",
            "fax_number": "231-739-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISSER",
        "first_name": "ERIC",
        "middle_name": "LENDBURGH",
        "name_prefix": "Dr.",
        "credential": "DDS, FAGD, FICOI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285015537",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Nadine Kay Hawkins
• Healing Place Counseling PLLC
• Healthy Smiles Dental Care of Muskegon, PLLC
• Hearing Health Mi LLC
• Ariel Westervelt Heisser, DDS
• Alexus Monyae Helms
• Sarah Clarissa Henson, FNP-C
• Marisa Ann Herrera, NP
• Ellise R Higgs
• Julianne Hilbrand, RD

• General Practice Dentistry in Norton Shores, MI
• Providers in Norton Shores, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.