Heritage Creek Dental of Albia LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

08515 Issued in IA

Legal business name

HERITAGE CREEK DENTAL OF ALBIA LLC

Doing business as

Heritage Creek Dental

Practice address

26 S Main St
Albia, IA 52531-2041

Phone

(641) 932-2729

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Clinton Scott Timmerman, DDS

Title

President/Dentist

Phone

(641) 932-2729

Specialties & licenses 1

Addresses

Other names 1

• Heritage Creek Dental Doing business as

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1891005468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525312041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "ALBIA",
            "state": "IA",
            "postal_code": "525312041",
            "telephone_number": "641-932-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CREEK DENTAL OF ALBIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "TIMMERMAN",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "641-932-2729",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerald L Haas, DO
• Joshua Sidney Harris, DO
• Sara Hassinen
• Tiffany Havard
• Heartland Eye Care PLC (Heartland Eye Care)
• Kayla Renee Herren, ARNP
• Homestead of Albia Operations, LLC
• Hy-Vee Inc (Hy-Vee Pharmacy (1009))
• Infinity Health
• Megan Ann Irving, PTA

• General Practice Dentistry in Albia, IA
• Providers in Albia, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.