Active NPI
Heather Heppner, D.D.S.
- Student in an Organized Health Care Education/Training Program
- New Hartford, NY
National Provider Identifier
1821438300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1714 Burrstone Rd
New Hartford, NY 13413-1002 - Phone
- (315) 624-6227
- Fax
- (315) 624-6519
- NPI assigned
- Jun 28, 2013
- Last updated
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1714 Burrstone Rd
New Hartford, NY 13413-1002
Mailing address
1714 Burrstone Rd
New Hartford, NY 13413-1002
Phone (315) 624-6227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00384309 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526000431 | NY | Order and Referring Only - Oral Surgery | 5698095107 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheatfield Dental Group | Current | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Practice Dentistry
- North Tonawanda, NY
- NPI 1730843418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1821438300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 BURRSTONE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131002",
"telephone_number": "315-624-6227",
"fax_number": "315-624-6519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 BURRSTONE RD",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131002",
"telephone_number": "315-624-6227",
"fax_number": "315-624-6519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEPPNER",
"first_name": "HEATHER",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00384309",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.