Jeni Lin-Bollenbacher Heselbarth

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012467A Issued in IN

Practice address

2424 E 5TH St
Mishawaka, IN 46544-3422

Phone

(574) 259-1464

NPI assigned

Mar 16, 2016

Last updated

Mar 16, 2022By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aegis Dental Group Warsaw, P.C.

  dba Aegis Dental Group Warsaw

  • Dental Clinic/Center
  • Warsaw, IN
  • NPI 1104512599
  NPD (past)
• Szabo Family Dentistry

  • Dentist
  • Mishawaka, IN
  • NPI 1902930555
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1417318650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 E 5TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465443422",
            "telephone_number": "574-259-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 E 5TH ST",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465443422",
            "telephone_number": "574-259-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESELBARTH",
        "first_name": "JENI",
        "middle_name": "LIN-BOLLENBACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012467A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Hernandez
• Heroic Hearts Play Therapy, LLC
• Paulina Herrera Aule
• Blair Renee Herrman, FNP
• Suzanne S Hertzler, OTR
• Mary Hess, BCBA
• Hewitt and Feltzer Dentistry Partnership
• Hewlett Zaremba LLC (Twin Branch dental)
• Leonard A. Hickman, PH.D, H.S.P.P.
• Evonne Higdon, NP

• General Practice Dentistry in Mishawaka, IN
• Providers in Mishawaka, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.