Gregory Paul Heintschel, D.D.S.
Individual provider Active NPI Dentist · Harbor Spings, MI
NPI 1306861323 · NPPES record last updated Dec 10, 2008
Key facts
- NPI
- 1306861323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 19093 (OH)
- Practice address
- 3434 M-119
Suite B Michigan Community Dental Clinics Inc
Harbor Spings, MI 49740 - Phone
- (231) 348-3970
- Fax
- (231) 348-3946
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181009003211 | OH | Practitioner - Dentist | 1557613148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19093 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current |
Accepting new patients | |
| The Metrohealth System | Current |
Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19093 | OH | Yes |
Addresses
Primary practice location
3434 M-119
Suite B Michigan Community Dental Clinics Inc
Harbor Spings, MI 49740
Mailing address
PO Box 219
218 W Garfield Michigan Community Dental Clinics Inc
Charlevoix, MI 49720-1631
Phone (231) 547-7638
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.