Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821051533 Individual Practitioner Female Practitioner

Dr. Jodi Heacock , DDS

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Jodi Heacock, DDS is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 7006 S CENTRAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7006 S Central Ave

Phoenix, AZ 850425423

Telephone 6022761029
Fax 6022761838
Associated Practice Facility / Clinic
🏢 Care For Kids Of Arizona, Llc Facility NPI 1407997513

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D5405

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ahcccs
578106 (AZ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Paul Brenchley , DDS

Dentist - General Practice

NPI 1184675480

Doctor of Dental Surgery

Dr. Lisa Chinn , DMD

Dentist - Pediatric Dentistry

NPI 1255530952

Doctor of Dental Medicine

Dr. Angela Dotson , DDS

Dentist - General Practice

NPI 1376616870

Doctor of Dental Surgery

Dr. Jeffery Walters , DDS

Dentist - General Practice

NPI 1427085257

Doctor of Dental Surgery

Dr. Joseph Nielsen , DDS

Dentist - General Practice

NPI 1578527818

Doctor of Dental Surgery

Dr. Matthew Maneely , DDS

Dentist - General Practice

NPI 1669496824

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 11, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2013

Registered at 7006 S CENTRAL AVE, PHOENIX, AZ 850425423 (Tel: 6022761029)

📍
Updated Business Mailing Address December 11, 2013

Registered at 7006 S CENTRAL AVE, PHOENIX, AZ 850425423 (Tel: 6022761029)

👤
Provider Name / Credentials Updated December 11, 2013

Recorded as JODI HEACOCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2013

Dentist (License #D5405 in AZ)

🟢
Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821051533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: December 11, 2013
Sole Proprietor: No

Mailing Address

7006 S Central Ave

Phoenix, AZ 850425423

Phone: 6022761029

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.