Heidi Novak, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901021227 Issued in MI

Practice address

1303 Packard St Ste 101
Ann Arbor, MI 48104-3874

Phone

(734) 761-3116

NPI assigned

Jun 18, 2014

Last updated

May 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John G Clinthorne DDS Ms & Heawon Ludia Kim DMD Ms PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ann Arbor, MI
  • NPI 1609988153
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1467866327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 PACKARD ST STE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043874",
            "telephone_number": "734-761-3116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 PACKARD ST STE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043874",
            "telephone_number": "734-761-3116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5950 Airport Hwy Ste 10",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436157362",
            "country_code": "US",
            "telephone_number": "419-867-9553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "HEIDI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021227",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "30.027109",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901021227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zarina Norton, MD
• Nosa Obaseki Counseling LLC
• Saadia Nosheen, M.B.B.S.
• Cameron Nosrat
• Mina Nourbakhsh, PT, DPT
• Kari N Novak, LMSW
• Koko Novak, MD
• Novel Responses
• Francesca Novelli
• Jack Novick, PH.D

• Orthodontics and Dentofacial Orthopedics Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.