Susan L Heeley, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

3479 Issued in WI

Practice address

9000 W Wisconsin Ave
Milwaukee, WI 53226-4874

Phone

(414) 266-2040

Fax

(414) 266-5677

NPI assigned

Mar 19, 2018

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

• Susan L Huebner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1578067294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE # MS 958",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-7615",
            "fax_number": "414-266-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 W WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532264874",
            "telephone_number": "414-266-2040",
            "fax_number": "414-266-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 N 12th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532331308",
            "country_code": "US",
            "telephone_number": "414-277-8960",
            "fax_number": "414-277-8985",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2561 N 29th St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532103116",
            "country_code": "US",
            "telephone_number": "414-372-4007",
            "fax_number": "414-372-4183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5433 W Fond Du Lac Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532161382",
            "country_code": "US",
            "telephone_number": "414-445-6500",
            "fax_number": "414-445-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEELEY",
        "first_name": "SUSAN",
        "middle_name": "L",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "3479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HUEBNER",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carrie Hecox, RN,MSN,CPNP
• Kurt E Hecox, MD
• Hirad S. Hedayat, MD
• Sarah Michelle Hedgcock, LCSW
• Kelly Hedlund Kanter, M.D.
• Rachael Elizabeth Hefel, MS, CCC-SLP
• Amy K Heffelfinger Miles, PHD
• Aaron William Heffernan, LCSW
• Beth Ann Heffernan
• Jenna M Heffernan, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.