Philip N Heinecke, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN11090 Issued in FL

Practice address

103 Bell Ave
Brooksville, FL 34601-2603

Phone

(352) 796-3380

Fax

(352) 796-0937

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heinecke Family Dentistry

  • General Practice Dentistry
  • Brooksville, FL
  • NPI 1750814166
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780799072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "HEINECKE",
        "first_name": "PHILIP",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN11090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Heath, LCSW
• Lydia Hedges, MA CCC-SLP
• Thomas Hedick
• Luz Mary Hedrick, PTA
• Heinecke Family Dentistry
• Helen W. Choate LMHC
• Shanna Hemmerlein, CCC-SLP
• Theresa Mary Hemphill Arison, M.S.,CCC/SLP
• Jacqueline Hemstreet, APRN
• Angela Henke

• General Practice Dentistry in Brooksville, FL
• Providers in Brooksville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.