Kirsten Heavener, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15865 Issued in MD

Practice address

12503 Willowbrook Rd
Cumberland, MD 21502-2554

Phone

(301) 759-5030

NPI assigned

Apr 30, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kirsten Logsdon Former name

Medicare fee-for-service enrollment

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

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.

• Diane D Romaine, DMD, PA

  • General Practice Dentistry
  • Frostburg, MD
  • NPI 1972755098
  NPD (past)

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1982014965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 WINDSOR RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022729",
            "telephone_number": "301-876-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12503 WILLOWBROOK RD",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215022554",
            "telephone_number": "301-759-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVENER",
        "first_name": "KIRSTEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIRSTEN",
            "last_name": "LOGSDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Healing Oasis, LLC
• Healing Waters Health Care
• Health 1St Medical Associates, Inc.
• Health Matters LLC
• Heather P Peirce MD PA
• Susan Lynn Heiss I
• Michelle K Helal, CRNA
• Mariah Allyn Helmick
• Michaelanne Helms, LGPC, LGPAT
• Jean W. Helz, M.D.

• General Practice Dentistry in Cumberland, MD
• Providers in Cumberland, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.