Matthew Scott Heimbach, D.M.D.

Individual provider Active NPI General Practice Dentistry · Exeter, NH

NPI 1730258641 · NPPES record last updated Jun 13, 2024

Key facts

NPI
1730258641
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3407 (NH)
Practice address
1 Hampton Rd Unit 305
Exeter, NH 03833-4891
Phone
(603) 583-4533
Fax
(603) 583-4507
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3407NHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ahern & Nichols Family Dentistry,P.a. General Practice Past Accepting new patients
Northeast Mobile Dental Service, P.a. General Practice Past Accepting new patients
Abenaki Dental Care Past
since May 26, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3407 NH Yes

Addresses

Primary practice location

1 Hampton Rd Unit 305
Exeter, NH 03833-4891

Mailing address

1 Hampton Rd Unit 305
Exeter, NH 03833-4891
Phone (603) 583-4533

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 13, 2024.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1730258641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 305",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334891",
            "telephone_number": "603-583-4533",
            "fax_number": "603-425-2873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 305",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334891",
            "telephone_number": "603-583-4533",
            "fax_number": "603-583-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMBACH",
        "first_name": "MATTHEW",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

All providers in Exeter, NH · General Practice Dentistry in New Hampshire

Sources for this page

Verify at the official NPI Registry.