NPIMap

Organization Active NPI

Heinbach and Gordon, D.D.S. P.C.

  • General Practice Dentistry
  • Levittown, PA
National Provider Identifier
1770614174
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19191 Issued in PA
Legal business name
HEINBACH AND GORDON, D.D.S. P.C.
Practice address
63 Lakeside Dr
Levittown, PA 19054-3901
Phone
(215) 943-0213
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Dr. Lawrence Heinbach, DDS
Title
President
Phone
(215) 943-0213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19191 PA Primary

Addresses

Primary practice location

63 Lakeside Dr
Levittown, PA 19054-3901

Mailing address

63 Lakeside Dr
Levittown, PA 19054-3901
Phone (215) 943-0213

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1770614174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 LAKESIDE DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543901",
            "telephone_number": "215-943-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 LAKESIDE DR",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190543901",
            "telephone_number": "215-943-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINBACH AND GORDON, D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "HEINBACH",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-943-0213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "19191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.