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RONALD A. HEIDERMAN D.D.S.
NPI 1720148059
Dentist in Chicago, IL

Active since December 08, 2006PECOS Enrolled
4806 N HAMILTON AVE, CHICAGO, IL 60625(773) 561-0455(773) 561-0455 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ronald A. Heiderman D.d.s. NPPES

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

RONALD A. HEIDERMAN D.D.S. (NPI 1720148059) is an individual dentist in Chicago, Illinois, licensed in Illinois (019.018262) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720148059
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameRONALD A. HEIDERMANCredential: D.D.S.
Location Address4806 N HAMILTON AVEChicago, IL 60625-1406
Mailing Address4806 N Hamilton AveChicago, IL 60625-1406 · (773) 561-0455 · Fax (773) 561-0455
Phone(773) 561-0455
Fax(773) 561-0455
Sole ProprietorYes
Enumeration DateDecember 8, 2006
Last NPPES UpdateFebruary 1, 2010
✔ NPI 1720148059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.018262
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.
4806 N HAMILTON AVE, Chicago, IL 60625
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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)

Ronald A. Heiderman 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 60625 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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

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

MOLLY SANDEEP LLC
Chiropractor
4806 N HAMILTON AVE
CHICAGO, IL 60625
Cook County (872) 242-8306

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 Ronald Heiderman's NPI number?

The NPI number for Ronald Heiderman is 1720148059. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Ronald Heiderman located?

Ronald Heiderman practices at 4806 N Hamilton Ave, Chicago, IL 60625. The listed phone number is (773) 561-0455.

What is Ronald Heiderman's specialty?

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

Is Ronald Heiderman enrolled in Medicare?

Yes. Ronald Heiderman is registered in the Medicare PECOS enrollment system.

What insurance does Ronald Heiderman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 6 other insurers list Ronald Heiderman 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 Ronald Heiderman was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.