NPIMap

Organization Active NPI

Jerry E. Heck, D.M.D.,Inc.

  • General Practice Dentistry
  • Mount Orab, OH
National Provider Identifier
1811160617
Registry record updated Apr 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20458 Issued in OH
Legal business name
JERRY E. HECK, D.M.D.,INC.
Practice address
470 W Main St
Mount Orab, OH 45154-9452
Phone
(937) 444-3311
Fax
(937) 444-1720
NPI assigned
Apr 12, 2008
Last updated
Apr 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2008

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

Authorized official

Name
Dr. Jerry E Heck, D.M.D.NPI 1083728117
Title
President
Phone
(937) 444-3311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20458 OH Primary

Addresses

Primary practice location

470 W Main St
Mount Orab, OH 45154-9452

Mailing address

470 W Main St
Mount Orab, OH 45154-9452
Phone (937) 444-3311

National Provider Directory

National Provider Directory

Locations

470 W Main St
Mount Orab, OH 45154
Phone (937) 444-3311

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207958400000",
    "number": "1811160617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 W MAIN ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549452",
            "telephone_number": "937-444-3311",
            "fax_number": "937-444-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W MAIN ST",
            "city": "MOUNT ORAB",
            "state": "OH",
            "postal_code": "451549452",
            "telephone_number": "937-444-3311",
            "fax_number": "937-444-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY E. HECK, D.M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-12",
        "last_updated": "2008-04-12",
        "status": "A",
        "authorized_official_last_name": "HECK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-444-3311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "20458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Orab, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.