NPIMap

Organization Active NPI

Heinen Family Dentistry

  • Dentist
  • Sparks, NV
National Provider Identifier
1780065219
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5708 Issued in NV
Legal business name
HEINEN FAMILY DENTISTRY
Practice address
925 Roberta LN
Sparks, NV 89431-1894
Phone
(775) 359-8464
Fax
(775) 359-8905
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Mrs. Kelly A Rose
Title
Business Manager
Phone
(775) 359-8464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5708 NV Primary

Addresses

Primary practice location

925 Roberta LN
Sparks, NV 89431-1894

Mailing address

925 Roberta LN
Sparks, NV 89431-1894
Phone (775) 359-8464

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1780065219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 ROBERTA LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311894",
            "telephone_number": "775-359-8464",
            "fax_number": "775-359-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 ROBERTA LN",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894311894",
            "telephone_number": "775-359-8464",
            "fax_number": "775-359-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINEN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "775-359-8464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "5708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.