Tammy Knapp Heisey, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029261L Issued in PA

Practice address

238 Brookley Ave SW
579TH MDG/SGHC
Bolling Afb, DC 20032-7704

Phone

(202) 404-3603

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1417038936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE SW",
            "address_2": "579TH MDG/SGHC",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327704",
            "telephone_number": "202-404-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 BROOKLEY AVE SW",
            "address_2": "579TH MDG/SGHC",
            "city": "BOLLING AFB",
            "state": "DC",
            "postal_code": "200327704",
            "telephone_number": "202-404-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISEY",
        "first_name": "TAMMY",
        "middle_name": "KNAPP",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029261L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George J Gerdts, DDS
• Ridge Morgan Gilley, D.D.S., M.S.
• Todd Gray, PA
• Michael D Guiterrez
• Grant R Hartup, DDS
• Lauren S. Hicks, PA
• Amanda Hoyle, CD(DONA)
• Jose Enrique Ibanez-Pabon, DMD
• Taylor Lynn Ignarri, BSN, RN
• James E King Jr., DMD

• General Practice Dentistry in Bolling Afb, DC
• Providers in Bolling Afb, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.