Individual provider Active NPI

Richard A Heide, DDS

  • Dentist
  • Eastchester, NY
National Provider Identifier
1952449100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043209 Issued in NY
Practice address
One Oakridge Place
Apt G
Eastchester, NY 10709
Phone
(914) 337-0409
Fax
(914) 337-0746
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 043209 NY Primary

Addresses

Primary practice location

One Oakridge Place
Apt G
Eastchester, NY 10709

Mailing address

One Oakridge Place
Apt G
Eastchester, NY 10709
Phone (914) 337-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150610001864 NY Order and Referring Only - DentistPractitioner - Dentist 2264753623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043209NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952449100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE OAKRIDGE PLACE",
            "address_2": "APT G",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "10709",
            "telephone_number": "914-337-0409",
            "fax_number": "914-337-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE OAKRIDGE PLACE",
            "address_2": "APT G",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "10709",
            "telephone_number": "914-337-0409",
            "fax_number": "914-337-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDE",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastchester, NY

Sources for this page

Verify at the official NPI Registry.