Bryce L Hetler, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40446 Issued in CA

Practice address

7728 Healdsburg Ave
Sebastopol, CA 95472-3352

Phone

(707) 824-5454

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023119591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7728 HEALDSBURG AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723352",
            "telephone_number": "707-824-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7728 HEALDSBURG AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723352",
            "telephone_number": "707-824-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETLER",
        "first_name": "BRYCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Yates Hergenrather, MD
• Mira Herman, DC, LAC
• Richard Jay Hersh, M.D.
• Gary Ronald Herzberg, MD
• Cori Herzig, PSY.D.
• Annaliese Hettinger, MSW, PPSC
• Hill Park Integrative Medical Center
• Shanti Hill-Gauer, LCSW
• Allan Stewart Hill, MD
• Bruce Gerard Hiner, PSY.D.

• General Practice Dentistry in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.