Active NPI
Gail Hinrichs Heyn, D.D.S.
- Dentist
- State College, PA
National Provider Identifier
1427056274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS035955
- Practice address
- 645 Royal Cir
State College, PA 16801-6459 - Phone
- (814) 234-0137
- NPI assigned
- Jul 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS035955 | PA | Primary |
Addresses
Primary practice location
645 Royal Cir
State College, PA 16801-6459
Mailing address
645 Royal Cir
State College, PA 16801-6459
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019756400006 | Medicaid | PA | |
| 0019756400005 | Medicaid | PA | |
| 0019756400007 | Medicaid | PA | |
| 0019756400009 | Medicaid | PA | |
| 01975640 | Medicaid | PA | |
| 0019756400004 | Medicaid | PA | |
| DS035955 | Other | PA | DELTA DENTAL |
| 0019756400008 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS035955 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1427056274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 ROYAL CIR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168016459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 ROYAL CIR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168016459",
"telephone_number": "814-234-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYN",
"first_name": "GAIL",
"middle_name": "HINRICHS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-13",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS035955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019756400006",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019756400005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019756400007",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019756400009",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01975640",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019756400004",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA DENTAL",
"identifier": "DS035955",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019756400008",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.