Organization Active NPI

Dr. Janice L. Heard DDS, P.a.

  • Exclusive Provider Organization
  • Rolesville, NC
National Provider Identifier
1063426716
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
5531 Issued in NC
Legal business name
DR. JANICE L. HEARD DDS, P.A.
Practice address
310 S Main St
Rolesville, NC 27571-9661
Phone
(919) 556-6761
Fax
(919) 556-0066
NPI assigned
Jul 28, 2006
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Janice Miller
Title
Office Manager
Phone
(919) 556-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 5531 NC Primary

Addresses

Primary practice location

310 S Main St
Rolesville, NC 27571-9661

Mailing address

PO Box 9
Rolesville, NC 27571-0009
Phone (919) 556-6761

Other identifiers 1

IdentifierTypeStateIssuer
8998285MedicaidNC

National Provider Directory

National Provider Directory

Locations

310 S Main St
Rolesville, NC 27571
Phone (919) 438-3937

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1063426716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275710009",
            "telephone_number": "919-556-6761",
            "fax_number": "919-556-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MAIN ST",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719661",
            "telephone_number": "919-556-6761",
            "fax_number": "919-556-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JANICE L. HEARD DDS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-556-6761"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NC",
            "license": "5531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8998285",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.