Rae Ann Heenan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11583 Issued in GA

Practice address

2300 Henderson Mill Rd NE
Suite 401
Atlanta, GA 30345-2745

Phone

(770) 938-3277

Fax

(770) 934-1240

NPI assigned

Apr 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376760454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 BUCKLINE XING",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385650",
            "telephone_number": "770-730-0990",
            "fax_number": "770-934-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HENDERSON MILL RD NE",
            "address_2": "SUITE 401",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452745",
            "telephone_number": "770-938-3277",
            "fax_number": "770-934-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEENAN",
        "first_name": "RAE ANN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "11583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellis V Hedaya, M.D.
• Trisha Hedden, CRNA
• Richard Ulf David Hedelius, DO
• Ricard W Hedlund, D.D.S.
• Elisa Dawn Hedmann, OTR
• Leonard T Heffner, M.D.
• Karen Heffron, PT
• Jason Thomas Heflin
• Hefner Transitions MHT LLC
• Jonathan Allister Hefner, MD

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.