Organization Active NPI

Michael T. Heiland D.D.S., P.C.

  • General Practice Dentistry
  • Saint Peters, MO
National Provider Identifier
1477870830
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14724 Issued in MO
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

Updated by the provider on Apr 26, 2010

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.