Individual provider Active NPI

Daniel Joseph Heintz, MD

  • Pediatric Pulmonology Physician
  • Knoxville, TN
National Provider Identifier
1649258484
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
55239 Issued in TN
Practice address
2018 Clinch Avenue
South Tower 1St Floor
Knoxville, TN 37916-3791
Phone
(865) 637-8481
Fax
(865) 246-7560
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X 55239 TN Primary

Addresses

Primary practice location

2018 Clinch Avenue
South Tower 1St Floor
Knoxville, TN 37916-3791

Mailing address

PO Box 15004
Knoxville, TN 37901-5004
Phone (865) 541-8895

Other practice location 1

502 Winfield Dunn Pkwy
Sevierville, TN 37876-5509
Phone (865) 637-8481

Other practice location 2

207 E Emory Rd
Powell, TN 37849-4047
Phone (865) 637-8481

Other practice location 3

1025 Childrens Way
Knoxville, TN 37922-7713
Phone (865) 637-8481

Other identifiers 1

IdentifierTypeStateIssuer
Q025838MedicaidTN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55239TNMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Tennessee Children'S Hospital Association, Inc. Past Accepting new patients
East Tennessee Children'S Hospital Association, Inc. Pediatrics Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1649258484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15004",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379015004",
            "telephone_number": "865-541-8895",
            "fax_number": "865-633-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 CLINCH AVENUE",
            "address_2": "SOUTH TOWER 1ST FLOOR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379163791",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 Winfield Dunn Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378765509",
            "country_code": "US",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 E Emory Rd",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378494047",
            "country_code": "US",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Childrens Way",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379227713",
            "country_code": "US",
            "telephone_number": "865-637-8481",
            "fax_number": "865-246-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINTZ",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TN",
            "license": "55239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025838",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.