Active NPI
Chris C Heinzel, HYG
- Dental Hygienist
- Marshfield, MO
National Provider Identifier
1942927645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 003701
- Practice address
- 1166 Banning St
Marshfield, MO 65706-1015 - Phone
- (417) 859-2400
- NPI assigned
- Oct 24, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 003701 | MO | Primary |
Addresses
Primary practice location
1166 Banning St
Marshfield, MO 65706-1015
Mailing address
440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 831-0150
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 |
|---|---|---|---|
| 003701 | MO | MD | Dental Hygienist |
Interoperability endpoints
- chris.heinzel.p1@direct.jordanvalley.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666569600000",
"number": "1942927645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 E TAMPA ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658061131",
"telephone_number": "417-831-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 BANNING ST",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "657061015",
"telephone_number": "417-859-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZEL",
"first_name": "CHRIS",
"middle_name": "C",
"credential": "HYG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MO",
"license": "003701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.