John J Heffron, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

5594 Issued in MD

Practice address

3450 Old Washington Rd
Suite 201
Waldorf, MD 20602-3248

Phone

(301) 645-6911

Fax

(301) 843-0083

NPI assigned

Nov 17, 2005

Last updated

Nov 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 15, 2013 through Nov 15, 2027

Medicare enrollment (NPD)

Not 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.

• Southern Maryland Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Waldorf, MD
  • NPI 1174559298
  NPD (past) Authorized official

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1659353423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 OLD WASHINGTON RD",
            "address_2": "SUITE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023248",
            "telephone_number": "301-645-6911",
            "fax_number": "301-843-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 OLD WASHINGTON RD",
            "address_2": "SUITE 201",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023248",
            "telephone_number": "301-645-6911",
            "fax_number": "301-843-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFRON",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MD",
            "license": "5594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Care Solutions LLC
• Heavenly Helpers Home Health Services
• Annick Payong Chima Hebou, MD
• Reese Mordechai Hebrank, LCSW-C
• Heffner and Aguto Dentistry
• Helping Hands Health Care, Inc.
• Unequa Helton, LMSW
• Shayla Mari Hemingway, NP
• Nayanna Hemphill
• Alanna Raye Henderson

• Oral and Maxillofacial Pathology Dentistry in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Oral and Maxillofacial Pathology Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.