Active NPI
Stuart J. Heimann, D.D.S
- Periodontics
- Huntington, NY
National Provider Identifier
1578727160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 053848
- Practice address
- 200 W Carver St
Huntington, NY 11743-3303 - Phone
- (631) 673-4710
- Fax
- (631) 673-3230
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 053848 | NY | Primary |
Addresses
Primary practice location
200 W Carver St
Huntington, NY 11743-3303
Mailing address
200 West Carver St.
Huntington, NY 11743
Phone (631) 673-4710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053848 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1578727160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST CARVER ST.",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "631-673-4710",
"fax_number": "631-673-3230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W CARVER ST",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117433303",
"telephone_number": "631-673-4710",
"fax_number": "631-673-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIMANN",
"first_name": "STUART",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "053848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.