James Gregory Heffernan, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0411000054 Issued in VA

Practice address

520 N 12TH Street
Vcu School of Dentistry, Dept of Endodontics
Richmond, VA 23298-0566

Phone

(804) 828-1778

Fax

(804) 827-1373

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr James G Heffernan DDS,PC

  • Endodontics
  • Geneva, IL
  • NPI 1316013261
  NPD (past) Authorized official
• Alayna Corden DMD, Ms, PC

  • Dental Clinic/Center
  • Chicago Ridge, IL
  • NPI 1801313358
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1972672095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WILLIAMSBURG AVE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341091",
            "telephone_number": "630-208-7668",
            "fax_number": "630-208-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 12TH STREET",
            "address_2": "VCU SCHOOL OF DENTISTRY, DEPT OF ENDODONTICS",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980566",
            "telephone_number": "804-828-1778",
            "fax_number": "804-827-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0411000054",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021001703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Cameron Hedrick
• Lori F Hedrick, PH.D.
• Sherri E Hedrick, PHARMD
• Nicole Ashlee Heely, CPNP-AC
• Ann T Heerens, M.D.
• Ellyn Marie Hefflefinger, RN
• Kathryn Rose Hefner, M.S.
• Alison R Hefty, NP, MSN, APRN-BC
• Ibrahim Mohamed Hegab, MD
• Charles Edwin Hegedus

• Endodontics in Richmond, VA
• Providers in Richmond, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.