Marty Everette Heesch, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6829 Issued in NC

Practice address

1093 13TH Street, SE
Hickory, NC 28602

Phone

(828) 324-7056

Fax

(828) 324-9586

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1841386331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 13TH STREET, SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-324-7056",
            "fax_number": "828-324-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1093 13TH STREET, SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28602",
            "telephone_number": "828-324-7056",
            "fax_number": "828-324-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEESCH",
        "first_name": "MARTY",
        "middle_name": "EVERETTE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1841386331",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Heckman
• Amanda Souther Hector, LPCA
• Diann Ellner Sailors Hedrick, NP
• Monica Young Hedrick, LPT
• Tara Hedrick, MA, NCC, LPCA
• Ginni Lynne Hefner, LCSWA
• Hannah F Hefner, MPAS, PA-C
• Brian Thomas Hegarty, DPT
• Liane Lynn Heier
• Dailee Justine Helfrich, M. ED, BCBA, LBA

• General Practice Dentistry in Hickory, NC
• Providers in Hickory, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.

Verify at the official NPI Registry.