Organization Active NPI

Heartland Endodontics

  • Dental Clinic/Center
  • Sebring, FL
National Provider Identifier
1366592156
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN0011329 Issued in FL
Legal business name
HEARTLAND ENDODONTICS
Practice address
4660 Lakeview Dr
Sebring, FL 33870-2063
Phone
(863) 382-9947
NPI assigned
Jan 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Gayle Obermayr, D.D.S.NPI 1366875791
Title
President
Phone
(863) 382-9947

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
Dental Clinic/Center 261QD0000X DN0011329 FL Primary

Addresses

Primary practice location

4660 Lakeview Dr
Sebring, FL 33870-2063

Mailing address

4660 Lakeview Dr
Sebring, FL 33870-2063
Phone (863) 382-9947

National Provider Directory

National Provider Directory

Locations

4660 Lakeview Dr
Sebring, FL 33870
Phone (863) 382-8878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366592156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702063",
            "telephone_number": "863-382-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 LAKEVIEW DR",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338702063",
            "telephone_number": "863-382-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBERMAYR",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-382-9947",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0011329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

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.