Heidi Nichols-Johnson, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1963 Issued in ND

Legal business name

HEIDI NICHOLS-JOHNSON, DDS

Practice address

4900 Ottawa St
Suite 200
Bismarck, ND 58503-6154

Phone

(701) 751-7510

NPI assigned

Dec 16, 2014

Last updated

Dec 16, 2014By 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

Heidi Nichols-Johnson, D.D.S.

Title

Owner

Phone

(701) 751-7510

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1447658950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 OTTAWA ST",
            "address_2": "SUITE 200",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036154",
            "telephone_number": "701-751-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 OTTAWA ST",
            "address_2": "SUITE 200",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585036154",
            "telephone_number": "701-751-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI NICHOLS-JOHNSON, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-16",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "NICHOLS-JOHNSON",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-751-7510",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "ND",
            "license": "1963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Hegge, MD
• Theresa Anne Hegge, M.D.
• Zanthia Hegle-Price
• Kaytlyn Heick
• Dane Michael Heid, D.C.
• Maria Kateri Heidrich
• Krista Renae Heil, O.D.
• Alexis Heisler
• Brandace K Heisler, RN
• Melanie L Heitkamp, LICSW

• Dental Clinic/Center in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Dental Clinic/Center in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.