Dr. Amanda Nichole Heusinger, D.M.D.
Dentist, General Practice in Madison, AL. Individual provider (NPI-1).
NPI number1801110796
StatusActive
Last updated in NPPESAug 26, 2016
Details
- NPI
- 1801110796
- Entity type
- Individual (NPI-1)
- Name
- Dr. Amanda Nichole Heusinger
- Credential
- D.M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2010
- Last updated
- Aug 26, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - OTHER (NON-PHYSICIAN)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5654 | AL | Yes |
| 1223P0700X | Dentist, Prosthodontics | 5654 | AL |
Practice location
8263 Madison BoulevaurdSuite A
Madison, AL 35758
Phone 256-774-7228 · Fax 256-774-2774
Mailing address
8263 Madison BoulevaurdSuite A
Madison, AL 35758
Phone 256-774-7228 · Fax 256-774-2774
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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