Active NPI
Gunther Penson Heyder, DDS
- General Practice Dentistry
- Greenville, NC
National Provider Identifier
1902142326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5981 C1
- Practice address
- 261 Belvoir Hwy
Greenville, NC 27834-8193 - Phone
- (252) 695-6352
- Fax
- (252) 695-6358
- NPI assigned
- Dec 13, 2012
- Last updated
- Dec 13, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5981 C1 | AL | Primary |
Addresses
Primary practice location
261 Belvoir Hwy
Greenville, NC 27834-8193
Mailing address
PO Box 347
Powells Point, NC 27966-0347
Phone (919) 801-6624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5981 C1 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1902142326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 347",
"city": "POWELLS POINT",
"state": "NC",
"postal_code": "279660347",
"telephone_number": "919-801-6624",
"fax_number": "252-491-2720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 BELVOIR HWY",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278348193",
"telephone_number": "252-695-6352",
"fax_number": "252-695-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYDER",
"first_name": "GUNTHER",
"middle_name": "PENSON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-13",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5981 C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.