Gregory James Heise, D.D.S

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

28450 Issued in CA

Practice address

2525 K St
Suite 101
Sacramento, CA 95816-5114

Phone

(916) 442-1882

Fax

(916) 442-3039

NPI assigned

Oct 10, 2006

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 Jun 20, 2017 through Jun 20, 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 and National Provider Directory roles.

• Richard F. Jackson, DDS, Gregory Heise, DDS, and Craig Alpha, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Sacramento, CA
  • NPI 1689762569
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659468569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 K ST",
            "address_2": "SUITE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165114",
            "telephone_number": "916-442-1882",
            "fax_number": "916-442-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 K ST",
            "address_2": "SUITE 101",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165114",
            "telephone_number": "916-442-1882",
            "fax_number": "916-442-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISE",
        "first_name": "GREGORY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "28450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Heinrich, L.C.S.W.
• Tricia Ann Heinrich, M.S.W., ASW
• Laura Diane Heintz
• Jagdev Singh Heir, M.D., D.M.D.
• Nimrat K Heir, DDS
• Thomas Heisler, MD
• Selyna A Heitman
• Gregory Heitmann, MD
• Sonya Heitmann, M.D.
• Kiumars Reza Hekmat, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• 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.
• 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.