Heather King, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

11249-16 Issued in WI

Practice address

2633 Development Dr Ste 40
Bellevue, WI 54311-4239

Phone

(715) 298-3983

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By 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

Other names 1

• Ms. Heather De Noble Former name

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.

• First Impressions SC

  • Pediatric Dentistry
  • Wausau, WI
  • NPI 1205804663
  NPD (past)

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1548038615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N 17TH AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014611",
            "telephone_number": "715-298-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 DEVELOPMENT DR STE 40",
            "city": "BELLEVUE",
            "state": "WI",
            "postal_code": "543114239",
            "telephone_number": "715-298-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "11249-16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DE NOBLE",
            "prefix": "MS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Costco Wholesale Corporation (Costco Optical #1162)
• Courtyard at Bellevue
• Phillip Crum, D.D.S.
• Nicholas Hoehn, DMD
• Hospice Preferred Choice, Inc. (AseraCare Hospice)
• Laura Martinson, D.M.D
• Quirt Family Dentistry, SC (Dental Care of Bellevue)
• Spine Solutions of Green Bay LLC
• Calvin Thai, PHARMD
• Steven John Vogel

• Dental Hygienist in Bellevue, WI
• Providers in Bellevue, WI by specialty
• Dental Hygienist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.