James David Heck, DDS
Individual provider Active NPI General Practice Dentistry · Greenwood, IN
NPI 1962585265 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1962585265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12009355 (IN)
- Practice address
- 1638 W Smith Valley Rd
Suite B
Greenwood, IN 46142-1550 - Phone
- (317) 881-4726
- Fax
- (317) 889-1853
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Dentist
- Education
- Indiana University School of Dentistry, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8500 W 110TH St
Suite 260
Overland Park, KS 66210-1892
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251222002462 | IN | Practitioner - Dentist | 7416237714 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12009355 | IN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Dental Care PC | Current |
Accepting new patients | |
| White River Family Dental and Implant Center | Past |
Accepting new patients | |
| White River Family Dental P.C. | General Practice | Past | Accepting new patients |
Locations
200 Byrd Way
Ste 205
Greenwood, IN 46143
8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12009355 | IN | Yes |
Addresses
Primary practice location
1638 W Smith Valley Rd
Suite B
Greenwood, IN 46142-1550
Mailing address
1638 W Smith Valley Rd
Suite B
Greenwood, IN 46142-1550
Phone (317) 881-4726
Other providers in Greenwood, IN
- Heart in Home of Indiana, LLC
- Heart in Home, Inc.
- Heart in Home, LLC
- Hearth at Stones Crossing LLC
- Heavy Transportation LLC
- Andrew Hector
- Patricia Heffner
- Andrea Heiden
- Julie Anne Heimann
- Jordan Heiniger
All providers in Greenwood, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.