ALEIGHIA B HELDERMAN, DMD, MS, PLLC — NPI 1760904650 (Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) in KINGSPORT, TN)

CMS-1500 Box 24J / 33a • NPI

1760904650

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

1223P0221X

Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)

Box 32 Service Location & ZIP+4

1741 MORELAND DR, KINGSPORT, TN, 37663-2088

✓ 9-Digit EDI 837 ZIP+4 (37663-2088)

Practice Phone & Referral Fax

(423) 247-5437

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1760904650 (ALEIGHIA B HELDERMAN, DMD, MS, PLLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1760904650` (NPI-2 Organization / Facility)
Provider / Legal Name	ALEIGHIA B HELDERMAN, DMD, MS, PLLC
Plain-English Specialty	Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) NUCC Code: `1223P0221X` (Dentist, Pediatric Dentistry)
Certifying / Licensing Body	American Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address	1741 MORELAND DR, KINGSPORT, TN, 37663-2088
Practice Telephone / Fax	Tel: (423) 247-5437
Administrative Mailing Address	950 W 1ST NORTH ST, MORRISTOWN, TN, 37814-4550
Enumeration & Last Sync	Enumerated: 2017-07-12 \| CMS Record Updated: 2017-07-12
Authorized Official	ALEIGHIA HELDERMAN (owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1741 MORELAND DR, KINGSPORT, TN, 37663-2088

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Plain-English Taxonomy & CMS Crosswalk (1223P0221X)

What Does Taxonomy Code 1223P0221X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 1223P0221X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALEIGHIA B HELDERMAN, DMD, MS, PLLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions

Common Therapeutic Classes:

Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`1223P0221X` — Dentist, Pediatric Dentistry Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)	State: TN \| License: `9432` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALEIGHIA B HELDERMAN, DMD, MS, PLLC (NPI #1760904650)