Individual provider Active NPI

Diane Baver Heller, D.D.S.

  • Endodontics
  • Mount Kisco, NY
National Provider Identifier
1891892444
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
041847-1 Issued in NY
Practice address
101 S Bedford Rd
Suite 410
Mount Kisco, NY 10549-3439
Phone
(914) 241-1177
NPI assigned
Sep 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 041847-1 NY Primary
Endodontics 1223E0200X 008144 CT

Addresses

Primary practice location

101 S Bedford Rd
Suite 410
Mount Kisco, NY 10549-3439

Mailing address

750 Kappock St
Apt 711
Bronx, NY 10463-4612
Phone (718) 796-6728

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710000567 NY Practitioner - Oral Surgery 7911223425 Practice locations: Bronx, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041847-1NYMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Past Accepting new patients
Westchester Putnam Endodontic Associates Endodontics Past Accepting new patients
Westchester Putnam Endodontics Endodontics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dheller844195@nychhc.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891892444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 KAPPOCK ST",
            "address_2": "APT 711",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634612",
            "telephone_number": "718-796-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BEDFORD RD",
            "address_2": "SUITE 410",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493439",
            "telephone_number": "914-241-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "DIANE",
        "middle_name": "BAVER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "041847-1",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CT",
            "license": "008144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.