NPIMap

Organization Active NPI

Heitman Family Dentistry LLC

  • General Practice Dentistry
  • Branson, MO
National Provider Identifier
1548022296
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEITMAN FAMILY DENTISTRY LLC
Practice address
523 State Highway 248 Ste a
Branson, MO 65616-7748
Phone
(417) 336-2404
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Jonah Heitman, D.D.S.NPI 1225777485
Title
Head Dentist
Phone
(417) 336-2404

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

523 State Highway 248 Ste a
Branson, MO 65616-7748

Mailing address

523 State Highway 248 Ste a
Branson, MO 65616-7748
Phone (417) 336-2404

Other names 1

  • 248 Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1548022296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 STATE HIGHWAY 248 STE A",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167748",
            "telephone_number": "417-336-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 STATE HIGHWAY 248 STE A",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656167748",
            "telephone_number": "417-336-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEITMAN FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "HEITMAN",
        "authorized_official_first_name": "JONAH",
        "authorized_official_title_or_position": "HEAD DENTIST",
        "authorized_official_telephone_number": "417-336-2404",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "248 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Branson, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.