Active NPI
Heritage Network Physician
- Orthopaedic Surgery Physician
- Hurst, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- E1757
- Legal business name
- HERITAGE NETWORK PHYSICIAN
- Practice address
- 800 Mountain Ter
Hurst, TX 76053-4210 - Phone
- (682) 626-5488
- Fax
- (817) 665-2974
- NPI assigned
- Jul 27, 2009
- Last updated
- Sep 18, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward W Smith, D.O.
- Title
- President
- Phone
- (682) 626-5488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | E1757 | TX | Primary |
Addresses
Primary practice location
800 Mountain Ter
Hurst, TX 76053-4210
Mailing address
800 Mountain Ter
Hurst, TX 76053-4210
Phone (682) 626-5488
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 881511 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Heritage Network Physician
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- Hurst, TX
- NPI 1386878973
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Orthopaedic Surgery Physician
- Hurst, TX
- NPI 1710985940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410998400000",
"number": "1023249919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MOUNTAIN TER",
"city": "HURST",
"state": "TX",
"postal_code": "760534210",
"telephone_number": "682-626-5488",
"fax_number": "817-665-2974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MOUNTAIN TER",
"city": "HURST",
"state": "TX",
"postal_code": "760534210",
"telephone_number": "682-626-5488",
"fax_number": "817-665-2974"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE NETWORK PHYSICIAN",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-27",
"last_updated": "2014-09-18",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "682-626-5488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "E1757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "881511",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hurst, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.