NPIMap

Organization Active NPI

Heim & Carroll DMD LLC

  • General Practice Dentistry
  • Glastonbury, CT
National Provider Identifier
1932246733
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6781 Issued in CT
Legal business name
HEIM & CARROLL DMD LLC
Practice address
36 Welles St
Suite 240
Glastonbury, CT 06033-2080
Phone
(860) 633-2031
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brad A Heim, DMDNPI 1699823732
Title
Partner
Phone
(860) 633-2031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6781 CT Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8882 CT

Addresses

Primary practice location

36 Welles St
Suite 240
Glastonbury, CT 06033-2080

Mailing address

36 Welles St
Suite 240
Glastonbury, CT 06033-2080
Phone (860) 633-2031

National Provider Directory

National Provider Directory

Locations

36 Welles St
Ste 240
Glastonbury, CT 06033
Phone (860) 633-2031

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932246733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WELLES ST",
            "address_2": "SUITE 240",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332080",
            "telephone_number": "860-633-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WELLES ST",
            "address_2": "SUITE 240",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332080",
            "telephone_number": "860-633-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIM & CARROLL DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-633-2031",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "6781",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8882",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.