All About Smiles, Pipestone LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13103 Issued in MN

Legal business name

ALL ABOUT SMILES, PIPESTONE LLC

Practice address

118 W Main St
Pipestone, MN 56164-1652

Phone

(888) 825-4214

Fax

(507) 825-4216

NPI assigned

Sep 30, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jon Heezen, DDS

Title

Owner, Dentist

Phone

(888) 825-4214

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1649673096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641652",
            "telephone_number": "888-825-4214",
            "fax_number": "507-825-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MAIN ST",
            "city": "PIPESTONE",
            "state": "MN",
            "postal_code": "561641652",
            "telephone_number": "888-825-4214",
            "fax_number": "507-825-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT SMILES, PIPESTONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "HEEZEN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "OWNER, DENTIST",
        "authorized_official_telephone_number": "888-825-4214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D13103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nellie Berkenpas, PHARMD
• Jessica Katherine Bosma, RN, PHN
• Katie Brand
• Brian Hatch, D.D.S., P.a.

• General Practice Dentistry in Pipestone, MN
• Providers in Pipestone, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.