Joseph F. Heidelman, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12007865A Issued in IN

Practice address

9240 N Meridian St
Ste 300
Indianapolis, IN 46260-1822

Phone

(317) 846-7377

Fax

(317) 846-8566

NPI assigned

May 27, 2005

Last updated

Aug 31, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1629071196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10972 ALLISONVILLE RD",
            "address_2": "SUITE 110",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382637",
            "telephone_number": "317-913-2363",
            "fax_number": "317-913-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9240 N MERIDIAN ST",
            "address_2": "STE 300",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601822",
            "telephone_number": "317-846-7377",
            "fax_number": "317-846-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDELMAN",
        "first_name": "JOSEPH",
        "middle_name": "F.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": "12007865A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100363130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerry Marie Hege, M.D.
• Mellisa Hege
• Wendy Hege, RPH
• Jennifer Heggaton, ATC
• Chele Suzanne Heid, PT
• Anna Marie Heidenreich, RPH
• David Heidenreich, LCSW
• Joseph Heidenreich
• Kailey Ryanne Heighway, DPT
• Audrey Heile

• Oral and Maxillofacial Surgery (Dentist) in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.