Active NPI
Jamie J Heying, D.D.S
- General Practice Dentistry
- Hiawatha, IA
National Provider Identifier
1982800611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08352
- Practice address
- 1700 Blairs Ferry Rd
Hiawatha, IA 52233-2033 - Phone
- (319) 396-3596
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08352 | IA | Primary |
| Prosthodontics | 1223P0700X | 08352 | IA |
Addresses
Primary practice location
1700 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Mailing address
3068 Oakridge Rd NE
North Liberty, IA 52317-9533
Phone (319) 321-1896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150519000998 | IA | Order and Referring Only - Dentist | 2466772264 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08352 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brda PLLC | Past | Accepting new patients | |
| Joel P Sardzisnki, DDS & Associates, PC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Hiawatha, IA
- NPI 1144617721
-
- General Practice Dentistry
- Hiawatha, IA
- NPI 1659442481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1982800611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3068 OAKRIDGE RD NE",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523179533",
"telephone_number": "319-321-1896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 BLAIRS FERRY RD",
"city": "HIAWATHA",
"state": "IA",
"postal_code": "522332033",
"telephone_number": "319-396-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYING",
"first_name": "JAMIE",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-21",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08352",
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "IA",
"license": "08352",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hiawatha, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.