Justin Heiden Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUSTIN HEIDEN DENTAL LLC

Practice address

412 S 13TH St
Sunnyside, WA 98944-1571

Phone

(509) 837-4213

NPI assigned

Feb 23, 2026

Organization subpart

No

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

Authorized official

Name

Christy Dupin

Title

Manager of Credentialing

Phone

(480) 674-4151

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Wayne Heiden, D.D,S.

  • Dentist
  • Sunnyside, WA
  • NPI 1730206616
  NPD (past)
• Robert A Larson, DDS

  • General Practice Dentistry
  • Sunnyside, WA
  • NPI 1467547059
  NPD (past)

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1710831326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S 13TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441571",
            "telephone_number": "509-837-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S 13TH ST",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441571",
            "telephone_number": "509-837-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN HEIDEN DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "DUPIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER OF CREDENTIALING",
        "authorized_official_telephone_number": "480-674-4151"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Jimenez I, PHYSICIAN ASSISTANT
• Brianne M Johnson, PA-C
• Jaci Johnson, LMT
• Jeffrey Kim Johnson, PA-C
• David Walter Frederick Jones, MD
• Vamsi Krishna Kanneganti, MD
• Mitul Kanzaria, MD
• David Kapplan, CRNA
• Patience Faith Karsten, ARNP, FNP-BC
• Deborah Kawakami, RN

• General Practice Dentistry in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.