DR JOHN F BLATTNER & DR DWIGHT D HEBERER PC (NPI# 1447400791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447400791 |
| Entity Type | Organization |
| Organization Name | DR JOHN F BLATTNER & DR DWIGHT D HEBERER PC |
| Other Organization Name | SMILES R FOREVER |
| Practice Address |
226 Westview Plaza Dr Waterloo IL 62298-1253 |
| Practice Telephone | 6189394042 |
| Mailing Telephone | 6189394042 |
| Mailing Fax Number | 6189395404 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2017-11-21 |
| Authorized Official Name | DR. JOHN F. BLATTNER (PARTNER) |
| Authorized Official Telephone | 6183374300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
019016532 | IL | Dental Providers |
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
019016532 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Smiles R forever | Doing Business As Name - Organization |
| Street Address |
226 WESTVIEW PLAZA DR |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298-1253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760817332 | At Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 6651 Gladel Dr, Waterloo, IL 62298-5055 | 2013-09-13 |
| 1811454622 | Vgm Group, Inc. | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Dr, Waterloo, IA 50701-8927 | 2019-02-28 |
| 1508350810 | Homelink Specialty Products | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Dr, Waterloo, IA 50701-8927 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894528 | Sleepsafellc | Durable Medical Equipment & Medical Supplies | 701 Lee St Ste 640, Des Plaines, IL 60016-4548 | 2020-06-05 |
| 1801416045 | Midwest Coach Builders, Inc | Durable Medical Equipment & Medical Supplies | 200 Easy St Ste I, Carol Stream, IL 60188-2399 | 2020-04-17 |
| 1154962389 | Windy City Medtek LLC | Durable Medical Equipment & Medical Supplies | 1305 Remington Rd Ste E, Schaumburg, IL 60173-4820 | 2019-09-29 |
| 1811452501 | Medequip, Inc | Durable Medical Equipment & Medical Supplies | 2863 95th St Ste 143, Naperville, IL 60564-9006 | 2019-02-06 |
| 1760951818 | Always Great Smiles Dot Com PC | Durable Medical Equipment & Medical Supplies | 586 Duane St, Glen Ellyn, IL 60137-4639 | 2018-11-19 |
| 1285123349 | Sleep Better Illinois LLC | Durable Medical Equipment & Medical Supplies | 261 N Randall Rd Ste 103, Lake In The Hills, IL 60156-5999 | 2018-05-04 |
| 1588151302 | Rinella Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 27w130 Roosevelt Rd # 2e, Winfield, IL 60190-1611 | 2018-04-17 |
| 1205353695 | Nutoys Leisure Products, Inc. | Durable Medical Equipment & Medical Supplies | 915 W Hillgrove Ave, La Grange, IL 60525-5823 | 2017-08-25 |
| 1528509833 | International Medical Equipment Distributors LLC | Durable Medical Equipment & Medical Supplies | 8501 W Higgins Rd Ste 710, Chicago, IL 60631-2883 | 2017-03-20 |
| 1508303553 | Kasper Healthcare Enterprises, Inc | Durable Medical Equipment & Medical Supplies | 11535 183rd Pl, Orland Park, IL 60467-4905 | 2017-01-30 |
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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.