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DR. MARK E. HEIDEMAN D.D.S.
NPI 1891851358
Dentist in Shawano, WI

Active since December 29, 2006PECOS Enrolled
920 E 5TH ST, SHAWANO, WI 54166(715) 524-2581 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark E. Heideman D.d.s. NPPES

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

DR. MARK E. HEIDEMAN D.D.S. (NPI 1891851358) is an individual dentist in Shawano, Wisconsin, licensed in Wisconsin (2270) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891851358
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARK E. HEIDEMANCredential: D.D.S.
Location Address920 E 5TH STShawano, WI 54166-2212
Mailing Address920 E 5th StShawano, WI 54166-2212 · (715) 524-2581
Phone(715) 524-2581
Sole ProprietorYes
Enumeration DateDecember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1891851358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 2270
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.
920 E 5TH ST, Shawano, WI 54166
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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. Mark E. Heideman 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 54166 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

PAUL D. DIBLEY, D.D.S., S.C.
Dentist (General Practice)
920 E 5TH ST
SHAWANO, WI 54166
Shawano County (715) 526-3315

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 Mark Heideman's NPI number?

The NPI number for Mark Heideman is 1891851358. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Mark Heideman located?

Mark Heideman practices at 920 E 5th St, Shawano, WI 54166. The listed phone number is (715) 524-2581.

What is Mark Heideman's specialty?

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

Is Mark Heideman enrolled in Medicare?

Yes. Mark Heideman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Heideman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.