Heinery Arevalo, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6001069-15 Issued in WI

Practice address

6100 Washington Ave Ste F2
Mount Pleasant, WI 53406-4000

Phone

(262) 999-9998

NPI assigned

Jun 10, 2022

Last updated

Dec 17, 2023By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702771200000",
    "number": "1295465565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S CLINTON ST APT 409A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606073809",
            "telephone_number": "630-656-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WASHINGTON AVE STE F2",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "534064000",
            "telephone_number": "262-999-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2731 Mannheim Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin Park",
            "state": "IL",
            "postal_code": "601312219",
            "country_code": "US",
            "telephone_number": "312-999-9995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "HEINERY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2023-12-17",
        "certification_date": "2023-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.033683",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6001069-15",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100216253",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl Antony, ATC, LAT
• Michelle Antosiewicz
• Jyron Aparri, DPT
• Kimberly Lynn Arbinger, PT
• Britta Arends
• Eric Arvizu Calzada
• Ascension All Saints Hospital, Inc (Ascension Rx 1101)
• Ascension All Saints Hospital, Inc (Ascension Rx 1102)
• Ascension Wisconsin Pharmacy, Inc (Ascension Rx 1114)
• Ascension Wisconsin Surgery Center-Mount Pleasant LLC (Ascension Wisconsin Surgery Center-Mount Pleasant)

• General Practice Dentistry in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2023; 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.