Michael G Heffelfinger, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

25393 Issued in TX

Practice address

1405 W Moore Ave
Terrell, TX 75160-2303

Phone

(972) 563-8383

Fax

(972) 563-8384

NPI assigned

Jun 7, 2010

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

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

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.

• Legacy Dental of Glen Oaks

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1962881748
  NPD (past) Authorized official
• Standard Dental Alliance, PLLC.

  • Dentist
  • Terrell, TX
  • NPI 1376838136
  NPD (past) Authorized official

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1295055739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 CEDAR SPRINGS RD",
            "address_2": "#2507",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752021203",
            "telephone_number": "610-509-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602303",
            "telephone_number": "972-563-8383",
            "fax_number": "972-563-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFELFINGER",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "25393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212837303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health and Human Services Commission
• Health and Human Services Commission
• Health and Human Services Commission
• Healthtexas Provider Network
• Healthtexas Provider Network
• Helping Hands of Hope Home Health
• Highstreet Dental
• Armand Hill, LPC
• Lillian E Hill
• Susan P Hodges, PT

• All providers in Terrell, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.