Heather Isom

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH012267 Issued in GA

Practice address

7101 Hoff St
BLDG 9240
Ft. Benning, GA 31905

Phone

(706) 544-1148

NPI assigned

Jun 7, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1578912960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 ASHMORE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093809",
            "telephone_number": "706-570-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 HOFF ST",
            "address_2": "BLDG 9240",
            "city": "FT. BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-544-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN284749",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "GA",
            "license": "DH012267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Phuoc Huynh, DO
• Michelle Icasiano
• Bruce David Ingold, PA-C
• Kimberly Ann Saya Inouye, DMD
• Thomas Isenovski, DO
• Daniel Gerardo Izquierdo, PA
• Annabelle M Jackson
• Warren T Jahn, DC
• Corella James-Johnson, PA-C
• Hee Sub Jang

• Dental Hygienist in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Dental Hygienist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.