Active NPI
Emily Ann Heitzmann, D.M.D.
- Pediatric Dentistry
- Ridgeland, MS
National Provider Identifier
1669635512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 464-13
- Practice address
- 112 S Maple St
Ridgeland, MS 39157-2305 - Phone
- (601) 707-5585
- Fax
- (601) 707-5586
- NPI assigned
- Jul 9, 2008
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3491-08 | MS | |
| Pediatric Dentistry | 1223P0221X | 464-13 | MS | Primary |
Addresses
Primary practice location
112 S Maple St
Ridgeland, MS 39157-2305
Mailing address
512 Ellerslie LN
Madison, MS 39110-8327
Phone (601) 750-3701
Other practice location 1
207 W Jackson St Ste B
Ridgeland, MS 39157-2355
Phone (601) 707-5585
Other names 1
- Dr. Emily Ann Dasinger
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3491-08 | MS | MD | Dentist |
| 464-13 | MS | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heitzmann Dentistry | Dentist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1669635512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 ELLERSLIE LN",
"city": "MADISON",
"state": "MS",
"postal_code": "391108327",
"telephone_number": "601-750-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S MAPLE ST",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391572305",
"telephone_number": "601-707-5585",
"fax_number": "601-707-5586"
}
],
"practiceLocations": [
{
"address_1": "207 W Jackson St Ste B",
"address_purpose": "LOCATION",
"city": "Ridgeland",
"state": "MS",
"postal_code": "391572355",
"country_code": "US",
"telephone_number": "601-707-5585",
"fax_number": "601-707-5586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEITZMANN",
"first_name": "EMILY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-09",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "3491-08",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MS",
"license": "464-13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMILY",
"last_name": "DASINGER",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ridgeland, MS
- Heathcat, Inc (Ridgeland Discount Drugs)
- Connie Renee Hefner, LPTA
- Brittany Kerr Heinsz, SLP
- Heitzmann Dentistry (Magnolia family dental care)
- Casey Brian Heitzmann, DMD
- Cornelius Henderson, DPT
- James Keeton Henderson, LPC
- Branden Henry, PHD.M.A., LPC, LMFTA
- Mark Angelo Henry Sr., LPTA
- John L Henson, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.