Individual provider Active NPI

Stephanie Leigh Heaney, D.D.S.

  • Pediatric Dentistry
  • Wilmington, NC
National Provider Identifier
1467516997
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7278 Issued in NC
Practice address
2606 Iron Gate Dr
Suite 200
Wilmington, NC 28412-2573
Phone
(910) 791-7380
Fax
(910) 791-8160
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7278NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Skip Tyson DDS & Stephanie Heaney DDS PA Pediatric Dentistry PastSince Dec 14, 2025 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 7278 NC Primary
Dentist 122300000X 7278 NC

Addresses

NPPES NPI Registry

Primary practice location

2606 Iron Gate Dr
Suite 200
Wilmington, NC 28412-2573

Mailing address

2606 Iron Gate Dr Ste 200
Wilmington, NC 28412-2494
Phone (910) 791-7380

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
9003CMedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 11, 2025.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1467516997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 IRON GATE DR STE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122494",
            "telephone_number": "910-791-7380",
            "fax_number": "910-791-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 IRON GATE DR",
            "address_2": "SUITE 200",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122573",
            "telephone_number": "910-791-7380",
            "fax_number": "910-791-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "7278",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7278",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9003C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.