Active NPI
Aaron Joseph Hiegert, D.D.S., MSD
- Pediatric Dentistry
- Paragould, AR
National Provider Identifier
1316258338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 4468
- Practice address
- 2709 W Kingshighway Ste 4
Paragould, AR 72450-2644 - Phone
- (870) 393-5600
- Fax
- (870) 393-5601
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2010016287 | MO | |
| Dentist | 122300000X | 10701 | CO | |
| Pediatric Dentistry | 1223P0221X | 4468 | AR | Primary |
Addresses
Primary practice location
2709 W Kingshighway Ste 4
Paragould, AR 72450-2644
Mailing address
2709 W Kingshighway Ste 4
Paragould, AR 72450-2644
Phone (870) 393-5600
Other practice location 1
777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69351074 | Medicaid | CO | |
| 1316258338 | Medicaid | MO | |
| 1930351596 | Other | MO | BNDD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010016287 | MO | MD | Dentist |
| 4468 | AR | MD | Pediatric Dentist |
| 10701 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1316258338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 W KINGSHIGHWAY STE 4",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724502644",
"telephone_number": "870-393-5600",
"fax_number": "870-393-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 W KINGSHIGHWAY STE 4",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724502644",
"telephone_number": "870-393-5600",
"fax_number": "870-393-5601"
}
],
"practiceLocations": [
{
"address_1": "777 Bannock St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802044507",
"country_code": "US",
"telephone_number": "303-436-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIEGERT",
"first_name": "AARON",
"middle_name": "JOSEPH",
"credential": "D.D.S., MSD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2023-03-07",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2010016287",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "10701",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AR",
"license": "4468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "69351074",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316258338",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "1930351596",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.