Susan M Heinzen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4149 Issued in AR

Practice address

150 S Tulsa Ave
Russellville, AR 72801-4600

Phone

(479) 968-2100

Fax

(479) 968-2107

NPI assigned

Sep 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Susan McAdams Heinzen DDS, P.a.

  dba Bartlett Dental Care

  • General Practice Dentistry
  • Russellville, AR
  • NPI 1407372279
  NPD (past) Authorized official
• Kent D Bartlett DDS PA

  • General Practice Dentistry
  • Russellville, AR
  • NPI 1821249707
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871690727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S TULSA AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014600",
            "telephone_number": "916-335-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S TULSA AVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014600",
            "telephone_number": "479-968-2100",
            "fax_number": "479-968-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZEN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54285",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "4149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthy Connections, Inc.
• Healthy U
• Heart and Mind Counseling, LLC
• Billy C Hefley, MRC
• Kaylee Hefner
• Drew Courtney Heiple, M.D.
• Mark D. Helms, D.D.S.
• William John Helms, MD
• Helping Hands Medical Center LLC
• Aimee Hemmer, LPC

• General Practice Dentistry in Russellville, AR
• Providers in Russellville, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.