Gerald Heim, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5000855-015 Issued in WI

Practice address

1200 Main St
La Crosse, WI 54601-4102

Phone

(608) 782-6778

Fax

(608) 782-6561

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great River Orthodontic Specialists, SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • La Crosse, WI
  • NPI 1124573902
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326095415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014102",
            "telephone_number": "608-782-6778",
            "fax_number": "608-782-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014102",
            "telephone_number": "608-782-6778",
            "fax_number": "608-782-6561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIM",
        "first_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "5000855-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33560200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Hecker, DDS, MS
• Max Heckman, BSW
• Sara M Heffernan, CRNA
• Chelsea Heil
• Brittany Heilman
• Maranda Kate Heinks, PA-C
• Kelly Lynn Heinzen
• Taya Heise
• Susan Heitman
• Patricia J. Heizler, BSW

• Orthodontics and Dentofacial Orthopedics Dentistry in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.