Michael Thomas Heiland, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14724 Issued in MO

Practice address

5650 Mexico Rd Ste 5
Saint Peters, MO 63376-1696

Phone

(636) 447-6665

Fax

(636) 447-2973

NPI assigned

Sep 1, 2006

Last updated

Apr 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1568564516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633380326",
            "telephone_number": "314-616-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 MEXICO RD STE 5",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761696",
            "telephone_number": "636-447-6665",
            "fax_number": "636-447-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILAND",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "14724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Hedrich
• Cheryl Ann Hedrick
• Kate Elizabeth Heersink
• Laura M. Hegyi, O.D.
• Julie Heidbreder, BCBA
• Steven K. Heiland, D.C.
• Cortney A Held, MOTR/L
• Lucy Payne Heller, SLP
• Helpinghandathomehealthcare@Yahoo.Com
• Megan Helwig, MA, LPC

• General Practice Dentistry in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.