Active NPI
Michael T. Heiland D.D.S., P.C.
- General Practice Dentistry
- Saint Peters, MO
National Provider Identifier
1477870830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 14724
- Legal business name
- MICHAEL T. HEILAND D.D.S., P.C.
- Practice address
- 305 Mid Rivers Mall Dr
Saint Peters, MO 63376-1516 - Phone
- (636) 970-1700
- Fax
- (636) 970-1705
- NPI assigned
- Apr 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Thomas Heiland, DDS
- Title
- Owner
- Phone
- (636) 332-3106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 14724 | MO | Primary |
Addresses
Primary practice location
305 Mid Rivers Mall Dr
Saint Peters, MO 63376-1516
Mailing address
1000 Schroeder Creek Blvd
Wentzville, MO 63385-3558
Phone (636) 332-3106
Other names 1
- Discovery Dental Centers
National Provider Directory
National Provider DirectoryLocations
305 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 970-1700
1000 Schroeder Creek Blvd
Wentzville, MO 63385
Phone (636) 332-4975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272240000000",
"number": "1477870830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 SCHROEDER CREEK BLVD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853558",
"telephone_number": "636-332-3106",
"fax_number": "636-332-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 MID RIVERS MALL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633761516",
"telephone_number": "636-970-1700",
"fax_number": "636-970-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL T. HEILAND D.D.S., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A",
"authorized_official_last_name": "HEILAND",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "636-332-3106",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "14724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Discovery Dental Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.