Organization Active NPI

Dr. Heidi's Kid's Dental Center Inc

  • Pediatric Dentistry
  • Lancaster, CA
National Provider Identifier
1538357835
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38689 Issued in CA
Legal business name
DR. HEIDI'S KID'S DENTAL CENTER INC
Practice address
43731 15TH St W Ste C
Lancaster, CA 93534-4785
Phone
(661) 949-0120
Fax
(661) 942-2370
NPI assigned
Oct 11, 2007
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Dr. Heidi Hame, D.D.S.,MSNPI 1578642393
Title
Owner
Phone
(661) 949-0120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 38689 CA Primary

Addresses

Primary practice location

43731 15TH St W Ste C
Lancaster, CA 93534-4785

Mailing address

43731 15TH St W Ste C
Lancaster, CA 93534-4785
Phone (661) 949-0120

Other identifiers 1

IdentifierTypeStateIssuer
B38689-01MedicaidCA

National Provider Directory

National Provider Directory

Locations

43731 15th St W
Ste C
Lancaster, CA 93534
Phone (661) 729-2990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1538357835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43731 15TH ST W STE C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344785",
            "telephone_number": "661-949-0120",
            "fax_number": "661-942-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43731 15TH ST W STE C",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344785",
            "telephone_number": "661-949-0120",
            "fax_number": "661-942-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HEIDI'S KID'S DENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "HAME",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-949-0120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "38689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B38689-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.