NPIMap

Organization Active NPI

Diane J. Heckley PC

  • General Practice Dentistry
  • Bloomington, IN
National Provider Identifier
1487873170
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DIANE J. HECKLEY PC
Practice address
3617 W State Road 46
Bloomington, IN 47404-9152
Phone
(812) 323-9970
Fax
(812) 323-9961
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Diane J Heckley, DDS
Title
Owner President Dentis
Phone
(812) 323-9970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3617 W State Road 46
Bloomington, IN 47404-9152

Mailing address

PO Box 1150
Bloomington, IN 47402-1150
Phone (812) 323-9970

National Provider Directory

National Provider Directory
Tax ID family
Diane J Heckley PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487873170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1150",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021150",
            "telephone_number": "812-323-9970",
            "fax_number": "812-323-9961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 W STATE ROAD 46",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474049152",
            "telephone_number": "812-323-9970",
            "fax_number": "812-323-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE J. HECKLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HECKLEY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT DENTIS",
        "authorized_official_telephone_number": "812-323-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.