DR. KENNETH R HEISE DDS
NPI 1003905845
Dentist in Elysburg, PA

Q: What is Kenneth Heise's NPI number?

The NPI number for Kenneth Heise is 1003905845. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Kenneth Heise's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Heise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2006PECOS Enrolled

11 N MARKET ST, ELYSBURG, PA 17824(570) 672-9692(570) 672-1019 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kenneth R Heise Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH R HEISE DDS (NPI 1003905845) is an individual dentist in Elysburg, Pennsylvania, licensed in Pennsylvania (DS023434L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003905845

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. KENNETH R HEISECredential: DDS

Location Address11 N MARKET STElysburg, PA 17824

Mailing Address11 N Market StElysburg, PA 17824 · (570) 672-9692 · Fax (570) 672-1019

Phone(570) 672-9692

Fax(570) 672-1019

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003905845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in PA · DS023434L

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

11 N MARKET ST, Elysburg, PA 17824

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth R Heise Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17824 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Heise's NPI number?

The NPI number for Kenneth Heise is 1003905845. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Kenneth Heise located?

Kenneth Heise practices at 11 N Market St, Elysburg, PA 17824. The listed phone number is (570) 672-9692.

What is Kenneth Heise's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kenneth Heise enrolled in Medicare?

Yes. Kenneth Heise is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Heise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.