Individual provider Active NPI

Jennifer Heit, CDA

  • Dental Assistant
  • Scottsdale, AZ
National Provider Identifier
1770106106
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AssistantTaxonomy code 126800000X
License
212481
Practice address
8535 E Hartford Dr Ste 100
Scottsdale, AZ 85255-5443
Phone
(480) 515-5400
NPI assigned
May 20, 2020
Last updated
Oct 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 212481 Primary

Addresses

Primary practice location

8535 E Hartford Dr Ste 100
Scottsdale, AZ 85255-5443

Mailing address

1814 E Crocus Dr
Phoenix, AZ 85022-4517
Phone (602) 568-4395

Other names 1

  • Jennifer McLaurin Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark D. Pogue, M.D. D.D.S., P.C. CurrentSince May 24, 2020 Accepting new patients

Locations

8535 E Hartford Dr
Ste 100
Scottsdale, AZ 85255
Phone (480) 515-5400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1770106106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 E CROCUS DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850224517",
            "telephone_number": "602-568-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 E HARTFORD DR STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555443",
            "telephone_number": "480-515-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIT",
        "first_name": "JENNIFER",
        "credential": "CDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": "212481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MCLAURIN",
            "credential": "CDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.