Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENNETH LLOYD HEITMAN D.D.S., M.S.D.
NPI 1396784427
Dentist - Periodontics in Indianapolis, IN

Q: What is Kenneth Heitman's NPI number?

The NPI number for Kenneth Heitman is 1396784427. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Kenneth Heitman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Heitman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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 June 05, 2006

8101 SHELBY ST, INDIANAPOLIS, IN 46227(317) 882-5088(317) 889-4734 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kenneth Lloyd Heitman D.d.s., M.s.d. NPPES

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

DR. KENNETH LLOYD HEITMAN D.D.S., M.S.D. (NPI 1396784427) is an individual periodontics provider in Indianapolis, Indiana, licensed in Indiana (12008056) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1396784427

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. KENNETH LLOYD HEITMANCredential: D.D.S., M.S.D.

Location Address8101 SHELBY STIndianapolis, IN 46227-6278

Mailing Address8101 Shelby StIndianapolis, IN 46227-6278 · (317) 882-5088 · Fax (317) 889-4734

Phone(317) 882-5088

Fax(317) 889-4734

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1396784427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IN · 12008056

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.

8101 SHELBY ST, Indianapolis, IN 46227

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Other Providers at the Same Location NPPES 2

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

DR. CAMERON HUSTON CONKIN DDS

Dentist (Oral and Maxillofacial Surgery)

8101 SHELBY ST
INDIANAPOLIS, IN 46227

Marion County (317) 882-2595

CAMERON CONKIN DDS, ORAL AND MAXILLOFACIAL SURGEON, LLC

Clinic/Center (Oral and Maxillofacial Surgery)

8101 SHELBY ST, STE A
INDIANAPOLIS, IN 46227

Marion County (317) 882-2595

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 Heitman's NPI number?

The NPI number for Kenneth Heitman is 1396784427. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Kenneth Heitman located?

Kenneth Heitman practices at 8101 Shelby St, Indianapolis, IN 46227. The listed phone number is (317) 882-5088.

What is Kenneth Heitman's specialty?

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

When was this NPI record last updated?

The NPPES record for Kenneth Heitman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.