Individual provider Active NPI

Heather Anne Berkheimer, DMD

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1326156977
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7212 Issued in NC
Practice address
257 Biltmore Ave
Asheville, NC 28801
Phone
(828) 285-0622
Fax
(828) 285-9831
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7212 NC Primary

Addresses

Primary practice location

257 Biltmore Ave
Asheville, NC 28801

Mailing address

PO Box 338
Asheville, NC 28802-0338
Phone (828) 285-0622

Other practice location 1

1400 Walter Reed Rd Ste 200
Fayetteville, NC 28304-4411
Phone (910) 864-9884

Other identifiers 2

IdentifierTypeStateIssuer
89-902HPMedicaidNC
902HPOtherBLUE CROSS BLUE SHIELD NC

Other names 1

  • Heather Anne Bald Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160728000763 NC Order and Referring Only - DentistPractitioner - Oral SurgeryPractitioner - Dentist 8628361698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ballance & Derose DDS PA General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hberkheimer603847@direct.ochin.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1326156977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288020338",
            "telephone_number": "828-285-0622",
            "fax_number": "828-285-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 BILTMORE AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-285-0622",
            "fax_number": "828-285-9831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Walter Reed Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044411",
            "country_code": "US",
            "telephone_number": "910-864-9884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKHEIMER",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-902HP",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "902HP",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BALD",
            "middle_name": "ANNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.