Organization Active NPI

Wheatfield Dental Group

  • General Practice Dentistry
  • North Tonawanda, NY
National Provider Identifier
1730843418
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WHEATFIELD DENTAL GROUP
Practice address
3349 Niagara Falls Blvd
North Tonawanda, NY 14120-1213
Phone
(716) 694-1777
NPI assigned
Oct 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Authorized official

Name
Dr. Heather Heppner, DDSNPI 1821438300
Title
Partner Dentist
Phone
(716) 694-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3349 Niagara Falls Blvd
North Tonawanda, NY 14120-1213

Mailing address

3349 Niagara Falls Blvd
North Tonawanda, NY 14120-1213
Phone (716) 694-1777

Other identifiers 2

IdentifierTypeStateIssuer
1821438300OtherNPI
1205177961OtherNPI

Other names 1

  • Wheatfield Family Dentistry Former legal business name

National Provider Directory

National Provider Directory

Locations

3349 Niagara Falls Blvd
North Tonawanda, NY 14120
Phone (716) 694-1777

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1730843418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201213",
            "telephone_number": "716-694-1777",
            "fax_number": "716-694-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 NIAGARA FALLS BLVD",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141201213",
            "telephone_number": "716-694-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATFIELD DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "HEPPNER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PARTNER DENTIST",
        "authorized_official_telephone_number": "716-694-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821438300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205177961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wheatfield Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.