NPIMap

Organization Active NPI

Dr James G Heffernan DDS,PC

  • Endodontics
  • Geneva, IL
National Provider Identifier
1316013261
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
DR JAMES G HEFFERNAN DDS,PC
Practice address
403 Williamsburg Ave
Geneva, IL 60134-1091
Phone
(630) 406-5790
Fax
(630) 208-7677
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Gregory Heffernan, D.D.S.NPI 1972672095
Title
President
Phone
(630) 208-7668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X IL Primary

Addresses

Primary practice location

403 Williamsburg Ave
Geneva, IL 60134-1091

Mailing address

403 Williamsburg Ave
Geneva, IL 60134-1091
Phone (630) 406-5790

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316013261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WILLIAMSBURG AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341091",
            "telephone_number": "630-406-5790",
            "fax_number": "630-208-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WILLIAMSBURG AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341091",
            "telephone_number": "630-406-5790",
            "fax_number": "630-208-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAMES G HEFFERNAN DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEFFERNAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-208-7668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.