Individual provider Active NPI

Maggie Heiman, DDS

  • Dentist
  • Rohnert Park, CA
National Provider Identifier
1811482326
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
112570 Issued in CA
Practice address
1400 Medical Center Dr.
Rohnert Park, CA 94928-2924
Phone
(707) 622-6748
NPI assigned
Jun 27, 2018
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2018021726 MO
Dentist 122300000X 112570 CA Primary

Addresses

Primary practice location

1400 Medical Center Dr.
Rohnert Park, CA 94928-2924

Mailing address

1400 Medical Center Dr Ste C
Rohnert Park, CA 94928-2924
Phone (707) 622-6748

Other practice location 1

2448 Guerneville Rd Ste 1000
Santa Rosa, CA 95403-7226
Phone (707) 230-6702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220412002208 MO Practitioner - Dentist 0143616540 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Jan 8, 2022 Accepting new patients
Compass Health, Inc CurrentSince Jan 8, 2022 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

2000 N Gaines Dr
Clinton, MO 64735
Phone (660) 885-6933

107 W Broadway St
El Dorado Springs, MO 64744
Phone (417) 876-5314

301 W Austin Blvd
Nevada, MO 64772

101 Hospital Dr
Osceola, MO 64776
Phone (417) 646-2054

501 N Sunset Ln
Raymore, MO 64083
Phone (448) 538-9378

Organizations & group practices 2

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": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1811482326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CENTER DR STE C",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282924",
            "telephone_number": "707-622-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CENTER DR.",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282924",
            "telephone_number": "707-622-6748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 Guerneville Rd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954037226",
            "country_code": "US",
            "telephone_number": "707-230-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "MAGGIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-27",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2018021726",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

Verify at the official NPI Registry.