DR. JEFFREY HEINZ (NPI# 1275946113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275946113 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY HEINZ |
| Credential | DDS, MSD |
| Practice Address |
158 Marcell Dr Ne Ste A Rockford MI 49341-1393 |
| Practice Telephone | 6169513006 |
| Mailing Telephone | 6169513006 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 2901021273 | MI | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
2901021273 | MI | Dental Providers |
| Street Address |
158 MARCELL DR NE STE A |
| City | ROCKFORD |
| State | MI |
| Zip Code | 49341-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801451836 | Heather Nash | Social Worker | 65 S. Main Street, Lower Level, Rockford, MI 49341 | 2019-05-06 |
| 1366967069 | Caitlin Lebron | Case Manager/Care Coordinator | 8625 Wildcat Run Dr Ne, Rockford, MI 49341 | 2017-08-03 |
| 1366967077 | Elite Nurse Staffing, LLC | Nursing Care | 3836 Windwood Drive, Ne, Rockford, MI 49341 | 2017-08-03 |
| 1336678747 | Melissa Diane Maynard | Behavior Technician | 3361 36th St., Grand Rapids, MI 49341 | 2017-06-08 |
| 1376077453 | Spectrum Health Primary Care Partners | Internal Medicine | 8501 Meadowcreek Dr, Rockford, MI 49341 | 2017-04-17 |
| 1871025254 | Robin D Dine | Behavior Technician | 8636 Shaner Ave, Rockford, MI 49341 | 2017-04-03 |
| 1528503216 | Miles Skalnek | Pharmacist | 511 10 Mile Road, Rockford, MI 49341 | 2017-01-04 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1275872046 | Eugene Louis Bonofiglo | Dentist | 4655- 14 Mile Rd Ne, Rockford, MI 49341 | 2013-02-13 |
| 1740539246 | Erica Joyce Nichols | Chiropractor | 6769 Courtland Dr, Suite 100, Rockford, MI 49341 | 2012-08-30 |
| Find all providers in zip 49341 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295192078 | Orthodontic Experts | Dentist | 5051 E State St, Rockford, IL 61108-2310 | 2016-01-25 |
| 1215099114 | Mp Montaleone Dds Ltd | Dentist | 4312 E State St, Rockford, IL 61108 | 2006-12-15 |
| 1104915099 | Thomas Patrick Williams II | Dentist | 6840 Northway Dr Ne Ste C, Rockford, MI 49341-7569 | 2006-10-11 |
| 1841381761 | Dean J Murphy | Dentist | 2835 Mcfarland Rd, Rockford, IL 61107-6819 | 2006-09-27 |
| 1700982378 | Timothy Allen Theisen | Dentist | 6050 Brynwood Dr, Suite 201, Rockford, IL 61114-6579 | 2006-09-15 |
| 1891742896 | Derek Sf Cheng | Dentist | 425 Roxbury Rd, Rockford, IL 61107 | 2006-05-27 |
| 1508845918 | Mark P. Brieden D.d.s., M.s., P.C. | Dentist | 158 Marcell Dr Ne, Rockford, MI 49341-1390 | 2006-01-13 |
| 1639152358 | Dennis Joseph Flanagan | Dentist | 1075 Featherstone Rd, Rockford, IL 61107-5906 | 2005-11-28 |
| 1861057119 | Alexis Leigh Gallagher | Dentist | 6840 Northway Dr Ne, Rockford, MI 49341-7568 | 2019-05-02 |
| 1609326743 | Lina Alsibaie | Dentist | 5051 E State St, Rockford, IL 61108-2310 | 2016-10-13 |
| Find all providers in ROCKFORD | ||||
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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.