Myles F Heffernan Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN17036 Issued in MA

Practice address

131 Main St
South Lancaster, MA 01561

Phone

(978) 365-5643

Fax

(978) 368-0145

NPI assigned

May 10, 2007

Last updated

Oct 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nashaway Dental Group P.C.

  • Dentist
  • South Lancaster, MA
  • NPI 1992914139
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1598970014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 606",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "01561",
            "telephone_number": "978-365-5643",
            "fax_number": "978-368-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MAIN ST",
            "city": "SOUTH LANCASTER",
            "state": "MA",
            "postal_code": "01561",
            "telephone_number": "978-365-5643",
            "fax_number": "978-368-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "MYLES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN17036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Christoph
• Ciccone Chiropractic, Inc.
• Peter A. Garofoli, D.D.S.
• Jannice Grunder, DOULA
• Deborah Ellen Keech, LMHC
• Mossmann Family Dental, PC
• Michael Erich Mossmann, DDS
• Nashaway Dental Group P.C.

• General Practice Dentistry in South Lancaster, MA
• Providers in South Lancaster, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.