Individual provider Active NPI

Donna Louise Heischober, DDS

  • General Practice Dentistry
  • Vacaville, CA
National Provider Identifier
1659404135
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38691 Issued in CA
Practice address
1980 Alamo Dr # 2
Vacaville, CA 95687-6100
Phone
(707) 449-3777
Fax
(707) 449-0754
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38691 CA Primary

Addresses

Primary practice location

1980 Alamo Dr # 2
Vacaville, CA 95687-6100

Mailing address

1980 Alamo Dr # 2
Vacaville, CA 95687-6100
Phone (707) 449-3777

Other identifiers 1

IdentifierTypeStateIssuer
3820OtherAZDENTAL LISENCE NUMBER

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

LicenseStateTypeSpecialty
38691CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roderic B. Panzer General Practice Past Accepting new patients

Organizations & group practices 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659404135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 ALAMO DR # 2",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876100",
            "telephone_number": "707-449-3777",
            "fax_number": "707-449-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 ALAMO DR # 2",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876100",
            "telephone_number": "707-449-3777",
            "fax_number": "707-449-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISCHOBER",
        "first_name": "DONNA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LISENCE NUMBER",
            "identifier": "3820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.