Individual provider Active NPI

Heidi F. Widoff, RDH, LMT, COM

  • Massage Therapist
  • Delray Beach, FL
National Provider Identifier
1376765552
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA94167 Issued in FL
Practice address
1521 NW 19TH Ter Apt 101
Delray Beach, FL 33445-1406
Phone
(818) 307-8518
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH25120 FL
Dental Hygienist 124Q00000X 21147 CA
Massage Therapist 225700000X MA94167 FL Primary

Addresses

Primary practice location

1521 NW 19TH Ter Apt 101
Delray Beach, FL 33445-1406

Mailing address

1521 NW 19TH Ter Apt 101
Delray Beach, FL 33445-1406
Phone (818) 307-8518

Other names 1

  • Ms. Heidi Fran Widoff Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smile@oralmyology.com Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH25120FLMDDental Hygienist
MA94167FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1376765552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 NW 19TH TER APT 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334451406",
            "telephone_number": "818-307-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 NW 19TH TER APT 101",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334451406",
            "telephone_number": "818-307-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDOFF",
        "first_name": "HEIDI",
        "middle_name": "F.",
        "name_prefix": "Ms.",
        "credential": "RDH, LMT, COM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH25120",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "21147",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA94167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smile@oralmyology.com",
            "affiliation": "N",
            "endpointDescription": "businesses email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1521 NW 19th Ter Apt 101",
            "city": "Delray Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334451406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEIDI",
            "last_name": "WIDOFF",
            "middle_name": "FRAN",
            "prefix": "MS.",
            "credential": "RDH, LMT, COM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.