Erich Heidenreich, DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

015037 Issued in MI

Legal business name

ERICH HEIDENREICH, DDS, PLLC

Practice address

128 W Michigan Ave
Marshall, MI 49068-1522

Phone

(269) 781-4600

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erich Heidenreich, D.D.S.NPI 1033205257

Title

Owner/Operator

Phone

(269) 781-4600

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Erich Heidenreich, D.D.S., P.L.L.C

  • General Practice Dentistry
  • Marshall, MI
  • NPI 1033205257
  NPD (past) Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1568658573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681522",
            "telephone_number": "269-781-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681522",
            "telephone_number": "269-781-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICH HEIDENREICH, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "HEIDENREICH",
        "authorized_official_first_name": "ERICH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "269-781-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "015037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella E.M. Brown Charitable Circle (Oaklawn Home Medical Equipment)
• Ella E.M. Brown Charitable Circle
• Ella Em Brown Charitable Circle (Oaklawn Hospital)
• Jeffrey Ellenstein, M.A., ED.M., LPC
• Stacy Ellis
• Taina Estimable
• Jamie Lynn Fast, LMT
• Stephanie Ann Fedele, M.A., LPC
• Elizabeth Ferrall, IBCLC, RD
• Sarah Marie Finch, CRNA

• General Practice Dentistry in Marshall, MI
• Providers in Marshall, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.