Organization Active NPI

Heinecke Family Dentistry

  • General Practice Dentistry
  • Brooksville, FL
National Provider Identifier
1750814166
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 22000 Issued in FL
Legal business name
HEINECKE FAMILY DENTISTRY
Practice address
103 Bell Ave
Brooksville, FL 34601-2603
Phone
(352) 796-3380
Fax
(352) 796-0937
NPI assigned
Apr 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Dr. Ashley Heinecke Massey, DMD
Title
Associate Dentist
Phone
(352) 796-0917

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN 22000 FL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN 22001 FL
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN11090 FL

Addresses

Primary practice location

103 Bell Ave
Brooksville, FL 34601-2603

Mailing address

7135 Mariner Blvd
Spring Hill, FL 34609-1048
Phone (352) 796-0917

National Provider Directory

National Provider Directory

Locations

103 Bell Ave
Brooksville, FL 34601
Phone (352) 796-3380

Practitioners & affiliated clinicians

Practitioners 2

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": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1750814166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091048",
            "telephone_number": "352-796-0917",
            "fax_number": "352-515-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BELL AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346012603",
            "telephone_number": "352-796-3380",
            "fax_number": "352-796-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINECKE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "HEINECKE",
        "authorized_official_title_or_position": "ASSOCIATE DENTIST",
        "authorized_official_telephone_number": "352-796-0917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22000",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 22001",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11090",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.