DR. JAMES F HEIDENREICH (NPI# 1407135742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407135742 |
| Entity Type | Individual |
| Full Name | DR. JAMES F HEIDENREICH |
| Credential | D.M.D. |
| Practice Address |
4701 W Indian School Rd Phoenix AZ 85031-2719 |
| Practice Telephone | 6232458461 |
| Practice Fax Number | 6232470444 |
| Mailing Telephone | 6232458461 |
| Mailing Fax Number | 6232470444 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2014-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | D008182 | AZ | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D008182 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902846827 | James G Heidenreich | Dentist | 6670 S Division, Grand Rapids, MI 49548-7834 | 2006-06-08 |
| Street Address |
4701 W INDIAN SCHOOL RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85031-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356443295 | Robert Lofaro | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2006-09-01 |
| 1790915163 | Justin Truong Manh Nguyen | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2009-07-20 |
| 1275704249 | Madhavi Potluri | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2008-03-18 |
| 1194910182 | Van Ann Nguyen | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2007-09-12 |
| 1922149038 | Care for Kids of Arizona, LLC | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2007-02-09 |
| 1558426767 | James Chan | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2006-12-27 |
| 1568564201 | Blake Schow | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2006-09-02 |
| 1952403628 | Melanie Hull | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2006-09-02 |
| 1912009960 | John Hamblin | Dentist | 4701 W Indian School Rd, Phoenix, AZ 85031-2719 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508256629 | Jessica Watson | Physical Therapy Assistant | 4110 N 108th Ave, Suite 103, Phoenix, AZ 85031 | 2015-01-27 |
| 1043518707 | Lisette V Hill | Nurse Practitioner | 3802 N 53rd Avenue, Suite 160, Phoenix, AZ 85031 | 2011-03-04 |
| 1760785778 | Unlimited Smiles | Dentist | 4805 West Thomas, Suite #a, Phoenix, AZ 85031 | 2010-12-13 |
| 1043526817 | Atul J Amin | Pharmacist | 5102 W Indian School Rd (walgreens), Phoenix, AZ 85031 | 2010-08-31 |
| 1396064663 | Akdhc, LLC | Internal Medicine | 4524 N Maryvale Parkway, Akdhc, LLC - Maryvale, Ste 160, Phoenix, AZ 85031 | 2010-05-25 |
| 1629397583 | Scott Anthony Effinger | Pharmacist | 4616 N. 51st Avenue, Suite 203, Phoenix, AZ 85031 | 2010-05-18 |
| 1912237397 | Albert Potter | Counselor | 5043 W. Campbell Ave., Phoenix, AZ 85031 | 2010-01-06 |
| 1649434887 | Mahmoud Azmi Mahafzah | Internal Medicine | 5251 W Campbell Ave Ste 204, Phoenix, AZ 85031 | 2008-07-16 |
| 1427253335 | Evelyn Tan Omana-roldan | Family Medicine | 4700 N. 51st Avenue, Suite 1, Phoenix, AZ 85031 | 2007-06-19 |
| 1255416103 | Chicanos Por La Causa Inc | Clinic/Center | 4602 W. Indian School Rd., Cplc Centro De La Familia, Phoenix, AZ 85031 | 2006-10-26 |
| Find all providers in zip 85031 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206274 | Totally Kids Dental P.C. | Dentist | 602 W Union Hills Dr Ste 9, Phoenix, AZ 85027-6629 | 2020-08-18 |
| 1861989121 | Logan Mariano | Dentist | 4383 E Rosemonte Dr, Phoenix, AZ 85050-3407 | 2018-04-21 |
| 1972023372 | David Jourabchi | Dentist | 4550 E Bell Rd Ste 106, Phoenix, AZ 85032-9342 | 2017-06-27 |
| 1730639840 | Steven Petruzzi Dds Pllc | Dentist | 34406 N 27th Dr Ste 106, Phoenix, AZ 85085-7730 | 2016-10-12 |
| 1124401146 | Jennifer Canada | Dentist | 6725 N 35th Ave # 105, Phoenix, AZ 85017-1083 | 2015-07-08 |
| 1548654791 | Arlene Kewallal | Dentist | 1935 W Happy Valley Rd, Phoenix, AZ 85085-2884 | 2015-03-25 |
| 1134400880 | Norterra Pediatric Dental Partners, LLP | Dentist | 2217 W Happy Valley Rd Ste 100, Phoenix, AZ 85085-1604 | 2011-09-07 |
| 1558689703 | Hamed Rezakhan | Dentist | 4803 E Ray Rd, Suit P002c, Phoenix, AZ 85044-6496 | 2010-05-12 |
| 1417110750 | Shreekrishna Chaitanya Akilesh | Dentist | 10550 W Mariposa St, Phoenix, AZ 85037-5081 | 2008-07-07 |
| 1134345937 | Pda Holdings | Dentist | 1701 E Thomas Rd #204, Phoenix, AZ 85016 | 2007-04-18 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.