Individual provider Active NPI

Heidi A Stauffer, DDS

  • Dentist
  • Westerville, OH
National Provider Identifier
1942494380
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30.024161 Issued in OH
Practice address
124 County Line Rd W
Suite a
Westerville, OH 43082-7231
Phone
(614) 882-2249
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.024161 OH Primary

Addresses

Primary practice location

124 County Line Rd W
Suite a
Westerville, OH 43082-7231

Mailing address

124 County Line Rd W
Suite a
Westerville, OH 43082-7231
Phone (614) 882-2249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150611003292 OH Order and Referring Only - DentistPractitioner - Dentist 3577884865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30.024161OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi a. Stauffer DDS Past Accepting new patients

Organizations & group practices 1

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1942494380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 COUNTY LINE RD W",
            "address_2": "SUITE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827231",
            "telephone_number": "614-882-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 COUNTY LINE RD W",
            "address_2": "SUITE A",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827231",
            "telephone_number": "614-882-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "HEIDI",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.024161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.