# DR. JONATHAN W HIEMER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1487647863
- **Gender:** Man
- **Credential:** D.M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6188 | KY | Yes |
| 1223G0001X | General Practice Dentistry | 6188 | KY | — |

## Other

- **Enumeration date:** 08/31/2005
- **Last updated:** 08/31/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 469970 | UNITED CONCORDIA | KY |
| 05 | — | 60061884 | — | KY |
| 01 | — | 6342 | PASSPORT PROVIDER NUMBER | KY |
| 01 | — | Y292 | BCBS PROVIDER NUMBER | KY |