Active NPI
Gary J. Heckenberger, D.D.S., P.C.
- General Practice Dentistry
- Bethlehem, PA
National Provider Identifier
1316026628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS023663L
- Legal business name
- GARY J. HECKENBERGER, D.D.S., P.C.
- Practice address
- 1234 Eaton Ave
Bethlehem, PA 18018-1806 - Phone
- (610) 866-7021
- Fax
- (610) 866-7021
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary J. Heckenberger, D.D.S., P.C.
- Title
- Owner
- Phone
- (610) 866-7021
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS023663L | PA | Primary |
Addresses
Primary practice location
1234 Eaton Ave
Bethlehem, PA 18018-1806
Mailing address
1234 Eaton Ave
Bethlehem, PA 18018-1806
Phone (610) 866-7021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167046 | Other | PA | UCCI PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
1234 Eaton Ave
Bethlehem, PA 18018
Phone (610) 866-7021
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Bethlehem, PA
- NPI 1558773382
-
- Dentist
- Bethlehem, PA
- NPI 1972900900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316026628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181806",
"telephone_number": "610-866-7021",
"fax_number": "610-866-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 EATON AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180181806",
"telephone_number": "610-866-7021",
"fax_number": "610-866-7021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY J. HECKENBERGER, D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HECKENBERGER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "610-866-7021",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S., P.C."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS023663L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCCI PROVIDER ID",
"identifier": "167046",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
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.