Kristin Francine Heckman-Nickodemus, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017670 Issued in MI

Practice address

2240 S Huron Pkwy
Ann Arbor, MI 48104-5151

Phone

(734) 677-2156

NPI assigned

Oct 17, 2006

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kristin Francine Heckman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Direnzo Dental, PLLC

  • Dental Clinic/Center
  • Ann Arbor, MI
  • NPI 1366326936
  NPD (past)
• Kristin F. Nickodemus, DDS, PLC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1215481155
  NPD (past)
• Shannon Norman-Kotre, DDS, PLLC

  • General Practice Dentistry
  • Ann Arbor, MI
  • NPI 1598939910
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1710067350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 VIRGINIA AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481034133",
            "telephone_number": "734-623-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045151",
            "telephone_number": "734-677-2156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1795 W Stadium Blvd",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481035290",
            "country_code": "US",
            "telephone_number": "734-769-4121",
            "fax_number": "734-662-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HECKMAN-NICKODEMUS",
        "first_name": "KRISTIN",
        "middle_name": "FRANCINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "HECKMAN",
            "middle_name": "FRANCINE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rachel Kramer Hechtman, MD
• Rachelle Heck
• Heckendorn Consultation and Therapy, PLLC
• Jennifer Trina Heckendorn, LMSW
• John Robert Heckenlively, MD
• Allie Jo Heckman, AUD
• Mary K Hedglen, LPN
• Leslie T. Hefner, LESLIE HEFNER PH.D.
• Molly Elaine Heft Neal, MD
• Saloni Hegde, MD

• General Practice Dentistry in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.