Individual provider Active NPI

Stephanie Heyn, RDH

  • Dental Hygienist
  • Grand Haven, MI
National Provider Identifier
1497209621
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
2902017553 Issued in MI
Practice address
326 N Ferry St
Grand Haven, MI 49417-1183
Phone
(616) 846-2701
NPI assigned
Aug 4, 2016
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 2902017553 MI Primary

Addresses

Primary practice location

326 N Ferry St
Grand Haven, MI 49417-1183

Mailing address

326 N Ferry St
Grand Haven, MI 49417-1183
Phone (616) 846-2701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2902017553MIMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Love Inc of the Tri-Cities Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15079/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1497209621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N FERRY ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171183",
            "telephone_number": "616-846-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N FERRY ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171183",
            "telephone_number": "616-846-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYN",
        "first_name": "STEPHANIE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MI",
            "license": "2902017553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.