Maurine Elizabeth Heesch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7425 Issued in NE

Practice address

1435 E 23Rd St
Fremont, NE 68025-2433

Phone

(402) 727-9100

Fax

(402) 753-9918

NPI assigned

Jul 28, 2014

Last updated

Mar 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Fremont Dental Group PC

  dba Fremont Dental Group

  • General Practice Dentistry
  • Fremont, NE
  • NPI 1093465361
  NPD (past)

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1730597378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252433",
            "telephone_number": "402-727-9100",
            "fax_number": "402-753-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252433",
            "telephone_number": "402-727-9100",
            "fax_number": "402-753-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEESCH",
        "first_name": "MAURINE",
        "middle_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-28",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1053",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Hein
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• General Practice Dentistry in Fremont, NE
• Providers in Fremont, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.