Organization Active NPI

Nicholas R. Hein, DDS, LLC

Doing business as Springfield Dental Care

  • Dentist
  • Springfield, MO
National Provider Identifier
1588909329
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2008029194 Issued in MO
Legal business name
NICHOLAS R. HEIN, DDS, LLC
Doing business as
Springfield Dental Care
Practice address
1200 E Woodhurst Dr Ste H100
Springfield, MO 65804-4260
Phone
(417) 883-2214
Fax
(417) 883-8697
NPI assigned
Dec 5, 2012
Last updated
Dec 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Authorized official

Name
Dr. Nicholas R Hein, DDS
Title
Sole Member
Phone
(417) 883-2214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2008029194 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr Ste H100
Springfield, MO 65804-4260

Mailing address

1200 E Woodhurst Dr Ste H100
Springfield, MO 65804-4260
Phone (417) 883-2214

Other names 1

  • Springfield Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

1200 E Woodhurst Dr
Ste H100
Springfield, MO 65804
Phone (417) 883-2214

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1588909329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE H100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044260",
            "telephone_number": "417-883-2214",
            "fax_number": "417-883-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE H100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044260",
            "telephone_number": "417-883-2214",
            "fax_number": "417-883-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS R. HEIN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "HEIN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "417-883-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "2008029194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Springfield Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.