NPIMap

Organization Active NPI

Markus P. Heyder, D.D.S., P.a.

  • Dentist
  • Kitty Hawk, NC
National Provider Identifier
1407059975
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7775 Issued in NC
Legal business name
MARKUS P. HEYDER, D.D.S., P.A.
Practice address
3704B N Croatan Hwy
Kitty Hawk, NC 27949-9208
Phone
(252) 261-7700
Fax
(252) 261-1770
NPI assigned
Jun 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Markus P Heyder, D.D.S.
Title
President/Dentist
Phone
(252) 261-7700

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7863 NC
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7775 NC Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7863 NC
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7775 NC

Addresses

Primary practice location

3704B N Croatan Hwy
Kitty Hawk, NC 27949-9208

Mailing address

3704B N Croatan Hwy
Kitty Hawk, NC 27949-9208
Phone (252) 261-7700

Other identifiers 1

IdentifierTypeStateIssuer
5902569MedicaidNC

Other names 1

  • Atlantic Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

3704 N Croatan Hwy
Ste B
Kitty Hawk, NC 27949
Phone (252) 261-7700

3704 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-7700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1407059975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704B N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279499208",
            "telephone_number": "252-261-7700",
            "fax_number": "252-261-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3704B N CROATAN HWY",
            "city": "KITTY HAWK",
            "state": "NC",
            "postal_code": "279499208",
            "telephone_number": "252-261-7700",
            "fax_number": "252-261-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKUS P. HEYDER, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "HEYDER",
        "authorized_official_first_name": "MARKUS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "252-261-7700",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7863",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7775",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7863",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902569",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kitty Hawk, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.