Richard Cheverie Heinl Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN23702 Issued in FL

Practice address

1575 Blondell Ave
Bronx, NY 10461-2660

Phone

(888) 700-6623

NPI assigned

Feb 28, 2018

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

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

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": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1861994394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRISA WAY APT 210",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581074",
            "telephone_number": "561-284-5428",
            "fax_number": "561-250-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BLONDELL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612660",
            "telephone_number": "888-700-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINL",
        "first_name": "RICHARD",
        "middle_name": "CHEVERIE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Marie Heesch, MSED
• Melanie Ann Heffley
• Oussama Hefnawi
• Taylor Nicole Heilman, MHC
• Peter Heiman, M.D.
• Peter D Heinze, PH.D.
• Joshua Paul Heisler, MD
• Tamar Heisler, M.D.
• Leila Hekmati
• Noy Helbron, MD

• General Practice Dentistry in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.