Joseph Michael Heidelberger

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JOSEPH MICHAEL HEIDELBERGER

Practice address

147 Pansy
Ishpeming, MI 49865

Phone

(906) 485-5575

NPI assigned

Nov 21, 2024

Last updated

Dec 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Wright

Title

Management

Phone

(616) 826-8007

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1407671670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 PANSY",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49865",
            "telephone_number": "906-485-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 PANSY",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "49865",
            "telephone_number": "906-485-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH MICHAEL HEIDELBERGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "616-826-8007"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean L Farbod DDS PLC
• Joel A Johnson, M.D.
• Theresa Johnson, LPN
• Judd C Johnston, MD
• Abigail Johnstone, DDS
• JPP Management of Negaunee LLC
• Helen Kahn, PHD
• Andrew James Kangas, MOT, OTR
• Anna-Liisa Marie Kautz
• Abbey Kelto

• Dental Clinic/Center in Ishpeming, MI
• Providers in Ishpeming, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.