Active NPI
Daniel Joseph Heintz, MD
- Pediatric Pulmonology Physician
- Knoxville, TN
National Provider Identifier
1649258484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 55239
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q025838 | Medicaid | TN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 55239 | TN | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Children's Hospital
- Knoxville, TN
- NPI 1760476659
-
- Neurology with Special Qualifications in Child Neurology Physician
- Knoxville, TN
- NPI 1912649518
Pediatrics
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.