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DR. KARL ANDREW HEINZELMANN D.D.S.
NPI 1265505648
Dentist - Periodontics in Roswell, GA

Active since November 15, 2006PECOS Enrolled
11775 POINTE PL, SUITE 104, ROSWELL, GA 30076(770) 475-3398(770) 475-2780 Get Directions Write a Review

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

About Dr. Karl Andrew Heinzelmann D.d.s. NPPES

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

DR. KARL ANDREW HEINZELMANN D.D.S. (NPI 1265505648) is an individual periodontics provider in Roswell, Georgia, licensed in Georgia (9250) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265505648
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KARL ANDREW HEINZELMANNCredential: D.D.S.
Location Address11775 POINTE PL, SUITE 104Roswell, GA 30076-4636
Mailing Address430 Brook Manor CtAlpharetta, GA 30022-3242 · (770) 360-9004 · Fax (770) 475-2780
Phone(770) 475-3398
Fax(770) 475-2780
Sole ProprietorYes
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265505648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in GA · 9250
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
11775 POINTE PL, Roswell, GA 30076
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

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. Karl Andrew Heinzelmann D.d.s. 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 30076 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS ALAN CUNNINGHAM DDS
Dentist (General Practice)
11775 POINTE PL, STE 102
ROSWELL, GA 30076
Fulton County (770) 772-9999
ATLANTA REHABILITATION PHYSICIANS, P.C.
Physical Medicine & Rehabilitation
11775 POINTE PL, SUITE 103
ROSWELL, GA 30076
Fulton County (770) 619-0010
DR. BRENT ANTHONY CLOWER D.O.
Physical Medicine & Rehabilitation
11775 POINTE PL, SUITE 103
ROSWELL, GA 30076
Fulton County (404) 500-7378
DR. STUART E. COE D.D.S.
Dentist (General Practice)
11775 POINTE PL, SUITE 101
ROSWELL, GA 30076
Fulton County (770) 475-3600
ALAN M HARBEN MD PHD
Physical Medicine & Rehabilitation (Pain Medicine)
11775 POINTE PL, SUITE 103
ROSWELL, GA 30076
Fulton County (770) 619-0010

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 Karl Heinzelmann's NPI number?

The NPI number for Karl Heinzelmann is 1265505648. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Karl Heinzelmann located?

Karl Heinzelmann practices at 11775 Pointe Pl Suite 104, Roswell, GA 30076. The listed phone number is (770) 475-3398.

What is Karl Heinzelmann's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Karl Heinzelmann enrolled in Medicare?

Yes. Karl Heinzelmann is registered in the Medicare PECOS enrollment system.

What insurance does Karl Heinzelmann accept?

Health plans from Humana list Karl Heinzelmann as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Karl Heinzelmann 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.