Heyder & Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7775 Issued in NC

Legal business name

HEYDER & ASSOCIATES

Practice address

503 Cypress LN
Manteo, NC 27954-8016

Phone

(252) 474-9841

Fax

(252) 423-3150

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Markus P Heyder, DDS

Title

Dentist/President

Phone

(252) 475-9841

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlantic Dentistry Doing business as

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1376913004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1536",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279541536",
            "telephone_number": "252-474-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CYPRESS LN",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279548016",
            "telephone_number": "252-474-9841",
            "fax_number": "252-423-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYDER & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "HEYDER",
        "authorized_official_first_name": "MARKUS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "252-475-9841",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902U8",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeri Denise Griggs, NP
• Jennifer Gwaltney, LCMHC
• Jennifer Hadra, DMD, MS
• Amanda Elizabeth Hall, M.S. CCC-SLP
• Christine Kennen Heard, MS, RD, LDN
• Samantha Leigh Hoback, LCSWA
• Linda Kathryn Hoffner, MS, CCC-SLP
• Walter L Holton, MD
• Marla Lynn Hueston, MA LPC
• Laurel P Huntingford, PT

• General Practice Dentistry in Manteo, NC
• Providers in Manteo, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.