Individual provider Active NPI

Heather Marie Dicross, M.D.

  • Pediatrics Physician
  • Salem, OH
National Provider Identifier
1912291964
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.154448 Issued in OH
Practice address
1076 E State St
Salem, OH 44460-2228
Phone
(330) 543-2778
NPI assigned
Jun 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.154448 OH Primary
Pediatrics Physician 208000000X MED-PHYS-LIC-34163 MT

Addresses

Primary practice location

1076 E State St
Salem, OH 44460-2228

Mailing address

46351 State Route 14
Columbiana, OH 44408-9553
Phone (330) 509-9861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140807001067 MT Practitioner - Pediatric Medicine 2264659713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED-PHYS-LIC-34163MTMDPediatrics Physician
35.154448OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston Healthcare CurrentSince Aug 13, 2014 Accepting new patients
Livingston Healthcare Current Accepting new patients
Livingston Healthcare CurrentSince Aug 13, 2014 Accepting new patients
Children's Hospital Medical Center of Akron Pediatrics Past Accepting new patients

Locations

320 Alpenglow Ln
Livingston, MT 59047
Phone (406) 222-3541

104 Centennial Dr
Livingston, MT 59047
Phone (406) 222-0030

104 Centennial Dr
Ste 103
Livingston, MT 59047
Phone (406) 222-0030

Interoperability endpoints

  • Direct secure messaging: heather.dicross@livingstonhealthcare.cernerdirect.com

Organizations & group practices 4

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1912291964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46351 STATE ROUTE 14",
            "city": "COLUMBIANA",
            "state": "OH",
            "postal_code": "444089553",
            "telephone_number": "330-509-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 E STATE ST",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444602228",
            "telephone_number": "330-543-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICROSS",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.154448",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "MED-PHYS-LIC-34163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

Verify at the official NPI Registry.