Paul M Hebenstreit, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS 6827 Issued in TN

Practice address

113 S David LN
Knoxville, TN 37922-3204

Phone

(865) 693-4841

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417970856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S DAVID LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223204",
            "telephone_number": "865-693-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S DAVID LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223204",
            "telephone_number": "865-693-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBENSTREIT",
        "first_name": "PAUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 6827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Medical Staffing LLC
• Bry Heath
• Donna Heath, FNP-BC
• Lindsay Jean Heath, FNP
• Matthew L Heaton, D.D.S., M.S.
• Frank E Hebert
• Jeffrey S Hecht, M.D.
• Corey Aaron Heck, COTA/L
• Denise Nichole Heck, BA
• Karlene Heck, RN

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.