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MR. GREGORY HEIDEMAN D.M.D.
NPI 1922104082
Dentist - General Practice in Las Vegas, NV

Active since September 16, 2006Opted out of Medicare · through Oct 12, 2027
6950 SMOKE RANCH RD STE 150, LAS VEGAS, NV 89128(702) 304-1902(702) 304-1909 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gregory Heideman D.m.d. NPPES

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

MR. GREGORY HEIDEMAN D.M.D. (NPI 1922104082) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (4845) and active in the NPI registry since September 2006. He has opted out of Medicare through October 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922104082
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. GREGORY HEIDEMANCredential: D.M.D.
Location Address6950 SMOKE RANCH RD STE 150Las Vegas, NV 89128-1301
Mailing Address6816 Royal Poinciana CtLas Vegas, NV 89131-1769 · (702) 677-6270
Phone(702) 304-1902
Fax(702) 304-1909
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 18, 2015
✔ NPI 1922104082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NV · 4845
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
6950 SMOKE RANCH RD STE 150, Las Vegas, NV 89128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mr. Gregory Heideman D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 12, 2017 through October 12, 2027.

Opt-Out Effective DateOctober 12, 2017
Opt-Out In Effect ThroughOctober 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 Gregory Heideman's NPI number?

The NPI number for Gregory Heideman is 1922104082. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Gregory Heideman located?

Gregory Heideman practices at 6950 Smoke Ranch Rd Ste 150, Las Vegas, NV 89128. The listed phone number is (702) 304-1902.

What is Gregory Heideman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Gregory Heideman enrolled in Medicare?

No. Gregory Heideman has opted out of Medicare through October 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Gregory Heideman accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Gregory Heideman 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 Gregory Heideman was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.