Organization Active NPI

Steven R. Hein, DDS, SC

  • General Practice Dentistry
  • Green Bay, WI
National Provider Identifier
1497915409
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2307 Issued in WI
Legal business name
STEVEN R. HEIN, DDS, SC
Practice address
2805 Libal St
Suite a
Green Bay, WI 54301-2877
Phone
(920) 336-6062
Fax
(920) 336-9272
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Steven R Hein, DDS
Title
Dentist
Phone
(920) 336-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2307 WI Primary

Addresses

Primary practice location

2805 Libal St
Suite a
Green Bay, WI 54301-2877

Mailing address

2805 Libal St
Suite a
Green Bay, WI 54301-2877
Phone (920) 336-6062

Other identifiers 1

IdentifierTypeStateIssuer
33392200MedicaidWI

National Provider Directory

National Provider Directory

Locations

2805 Libal St
Green Bay, WI 54301
Phone (920) 336-6062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1497915409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 LIBAL ST",
            "address_2": "SUITE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012877",
            "telephone_number": "920-336-6062",
            "fax_number": "920-336-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 LIBAL ST",
            "address_2": "SUITE A",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012877",
            "telephone_number": "920-336-6062",
            "fax_number": "920-336-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. HEIN, DDS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "920-336-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33392200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.