Active NPI
John William Heckert, DDS
- Dentist
- Brooklyn Center, MN
National Provider Identifier
1639321011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D10730
- Practice address
- 6437 Brooklyn Blvd
Brooklyn Center, MN 55429-2174 - Phone
- (763) 531-7177
- NPI assigned
- Oct 16, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D10730 | MN | Primary |
Addresses
Primary practice location
6437 Brooklyn Blvd
Brooklyn Center, MN 55429-2174
Mailing address
2439 Pleasant Ave
Minneapolis, MN 55404-3250
Phone (612) 840-8604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D10730 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1639321011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2439 PLEASANT AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043250",
"telephone_number": "612-840-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6437 BROOKLYN BLVD",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554292174",
"telephone_number": "763-531-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKERT",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D10730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Center, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.