Heather Renee Mackey, R.D.H.

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

003679 Issued in MO

Practice address

508 W Highway 76
Anderson, MO 64831-8548

Phone

(417) 845-2243

Fax

(714) 845-2253

NPI assigned

Oct 12, 2009

Last updated

Oct 12, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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.

• Area Community Health Emissaries, Inc.

  dba ACHE Dental

  • Public Health Dentistry
  • Anderson, MO
  • NPI 1386774412
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1487989356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648311136",
            "telephone_number": "417-845-2273",
            "fax_number": "417-845-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W HIGHWAY 76",
            "city": "ANDERSON",
            "state": "MO",
            "postal_code": "648318548",
            "telephone_number": "417-845-2243",
            "fax_number": "714-845-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "R.D.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "MO",
            "license": "003679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Hamilton, PHARMD
• Cody J Hansen, LMSW
• Camille Reynaud Hatcher, RDH
• Amy Shala Hill, R.D.H.
• Stacy L Jansen, M.D.
• Viola Marie Martin
• Heather Maze
• Leland McCall, DDS
• McDonald County R-1 Schools
• Amanda D McKarus, PT

• Dental Assistant in Anderson, MO
• Providers in Anderson, MO by specialty
• Dental Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.