Individual provider Active NPI

Paul A Heath, DDS

  • General Practice Dentistry
  • Oklahoma City, OK
National Provider Identifier
1063496446
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
OK4721 Issued in OK
Practice address
1601 SW 89TH St
Ste G500
Oklahoma City, OK 73159-6349
Phone
(405) 682-0609
Fax
(405) 682-2921
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X OK4721 OK Primary

Addresses

Primary practice location

1601 SW 89TH St
Ste G500
Oklahoma City, OK 73159-6349

Mailing address

1601 SW 89TH St
Ste G500
Oklahoma City, OK 73159-6349
Phone (405) 682-0609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160201001800 OK Order and Referring Only - DentistPractitioner - Dentist 5193029833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OK4721OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Paul a Heath DDS, Inc Past Accepting new patients
Phillip J Elassal DDS PLLC PastSince Dec 22, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1063496446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST",
            "address_2": "STE G500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596349",
            "telephone_number": "405-682-0609",
            "fax_number": "405-682-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SW 89TH ST",
            "address_2": "STE G500",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596349",
            "telephone_number": "405-682-0609",
            "fax_number": "405-682-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "OK4721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.