Robert Donald Heine, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5584 Issued in KY

Practice address

2850 Lone Oak Rd Ste #5
Paducah, KY 42003-8043

Phone

(270) 554-2026

Fax

(270) 554-9164

NPI assigned

Nov 1, 2006

Last updated

Oct 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 20, 2017 through Feb 20, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Heine, Heine and Bowles, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Paducah, KY
  • NPI 1982058590
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444780800000",
    "number": "1629156005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 LONE OAK RD STE #5",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038043",
            "telephone_number": "270-554-2026",
            "fax_number": "270-554-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 LONE OAK RD STE #5",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038043",
            "telephone_number": "270-554-2026",
            "fax_number": "270-554-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINE",
        "first_name": "ROBERT",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2015-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5584",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "5584",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "KY",
            "license": "5584",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60055845",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64055841",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calvin Hedges, CRNA
• Andria M Hefner, APRN
• Mary Hefner, MS, CCC-SLP
• Brian Tory Heine, DMD
• Heine, Heine and Bowles, PLLC
• Emma Sue Heinemann
• Monty Carl Heisner, DC
• Terry Glen Heisner, DC
• Jessica Heller, LPN
• Abigail Reese Henderson

• Oral and Maxillofacial Surgery (Dentist) in Paducah, KY
• Providers in Paducah, KY by specialty
• Oral and Maxillofacial Surgery (Dentist) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.