Justin Wayne Heiden, D.D,S.

Primary specialty

DentistTaxonomy code 122300000X

License

D 5642 Issued in AZ

Practice address

412 S 13TH St
Sunnyside, WA 98944-1571

Phone

(509) 837-4213

NPI assigned

Mar 23, 2007

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Justin Heiden Dental LLC

  • General Practice Dentistry
  • Sunnyside, WA
  • NPI 1710831326
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1730206616",
    "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": {
        "last_name": "HEIDEN",
        "first_name": "JUSTIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.D,S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D 5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Hawley, PMHNP
• Carolyn A Hazzard
• Health & Wellness Alliance
• Heartlinks (Heartlinks Adult Family Home)
• Micah L Heeringa, MPT
• Sara Herrera
• Tiffanie Ann Hester, L.M.P.
• David Alan Hicks, RPH
• Michael G Hollenberg, M.S.P.T., CERT M.D.T
• Howard's Medical LLC

• Dentist in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.