Active NPI
Natalie Ruth Heaivilin, D.D.S.
- General Practice Dentistry
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901601122
- Practice address
- 1011 N University Ave
Ann Arbor, MI 48109-1078 - Phone
- (734) 936-5950
- NPI assigned
- Jan 31, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401416320 | VA | |
| General Practice Dentistry | 1223G0001X | 63326 | CA | |
| General Practice Dentistry | 1223G0001X | 2901601122 | MI | Primary |
Addresses
Primary practice location
1011 N University Ave
Ann Arbor, MI 48109-1078
Mailing address
3515 Larchmont Dr
Ann Arbor, MI 48105-2853
Phone (913) 593-5842
Other practice location 1
707 Parnassus Ave
D1201
San Francisco, CA 94143-2210
Phone (415) 502-8914
Other practice location 2
6677 Richmond Hwy
Alexandria, VA 22306-6647
Phone (703) 535-5568
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://dent.umich.edu/ | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401416320 | VA | MD | Dentist |
| 2901601122 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| UCSF Oral Medicine Clinic | General Practice | Current | Accepting new patients |
Locations
513 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-1239
707 Parnassus Ave
#D1201
San Francisco, CA 94143
Phone (415) 476-1316
513 Parnassus Ave
Rm S722
San Francisco, CA 94143
Phone (415) 476-2045
1975 4th St
San Francisco, CA 94143
Phone (415) 353-3000
Organizations & group practices 1
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.
-
- General Practice Dentistry
- San Francisco, CA
- NPI 1376612960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636416000000",
"number": "1457774184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 LARCHMONT DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052853",
"telephone_number": "913-593-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 N UNIVERSITY AVE",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481091078",
"telephone_number": "734-936-5950"
}
],
"practiceLocations": [
{
"address_1": "707 Parnassus Ave",
"address_2": "D1201",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432210",
"country_code": "US",
"telephone_number": "415-502-8914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6677 Richmond Hwy",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "VA",
"postal_code": "223066647",
"country_code": "US",
"telephone_number": "703-535-5568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEAIVILIN",
"first_name": "NATALIE",
"middle_name": "RUTH",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2021-11-09",
"certification_date": "2021-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401416320",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "63326",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901601122",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://dent.umich.edu/",
"affiliation": "N",
"endpointDescription": "Hospital Dentistry Program",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1011 N University Ave",
"city": "Ann Arbor",
"state": "MI",
"country_code": "US",
"postal_code": "481091078",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.