Individual provider Active NPI

Michael G Heffelfinger, D.D.S.

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1669552196
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401411045 Issued in VA
Practice address
501 21St St
Virginia Beach, VA 23451-4118
Phone
(757) 428-6656
Fax
(757) 428-3470
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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 0401411045 VA Primary

Addresses

Primary practice location

501 21St St
Virginia Beach, VA 23451-4118

Mailing address

501 21St St
Virginia Beach, VA 23451-4118
Phone (757) 428-6656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190610001597 VA Order and Referring Only - DentistPractitioner - Dentist 2466785209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis F. Howard, DDS, Allen H. White, III, DDS, PC 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364256000000",
    "number": "1669552196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 21ST ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514118",
            "telephone_number": "757-428-6656",
            "fax_number": "757-428-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 21ST ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234514118",
            "telephone_number": "757-428-6656",
            "fax_number": "757-428-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFELFINGER",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2013-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.