Susan McAdams Heinzen DDS, P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4149 Issued in AR

Legal business name

SUSAN MCADAMS HEINZEN DDS, P.A.

Practice address

150 S Tulsa Ave
Russellville, AR 72801-4600

Phone

(479) 968-2100

Fax

(479) 968-2107

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Susan McAdams Heinzen, DDSNPI 1871690727

Title

Owner/Dentist

Phone

(479) 968-2100

Specialties & licenses 1

Addresses

Other names 1

• Bartlett Dental Care Doing business as

Locations

Practitioners 2

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

• Susan M Heinzen, DDS

  • General Practice Dentistry
  • Russellville, AR
  • NPI 1871690727
  NPD (past) Authorized official
• Kent D. Bartlett, D.D.S.P.A

  • General Practice Dentistry
  • Russellville, AR
  • NPI 1598829392
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1407372279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S TULSA AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014600",
            "telephone_number": "479-968-2100",
            "fax_number": "479-968-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S TULSA AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014600",
            "telephone_number": "479-968-2100",
            "fax_number": "479-968-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN MCADAMS HEINZEN DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "HEINZEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MCADAMS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "479-968-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bartlett Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Ellis Stroud, R.PH
• Kaila Stroud
• Kyle Struckmeyer, PTA
• Beverly Sufleta, CASE MANAGER CARE CO
• Richard H Sundermann Jr., M.D.
• Kelly Sutton, MHPP
• Sarah Elizabeth Swallow
• William Mitchell Swallow
• Syborg LTD
• Mandy Page Sykora

• General Practice Dentistry in Russellville, AR
• Providers in Russellville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.