Warner Evans Heathman, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

9915 Issued in TX

Practice address

4010 Vista Rd
Suite B
Pasadena, TX 77504-2183

Phone

(713) 947-8832

NPI assigned

Apr 25, 2007

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

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114146123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 VISTA RD",
            "address_2": "SUITE B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042183",
            "telephone_number": "713-947-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 VISTA RD",
            "address_2": "SUITE B",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775042183",
            "telephone_number": "713-947-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATHMAN",
        "first_name": "WARNER",
        "middle_name": "EVANS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "9915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Haynes, M.D. PH.D.
• Howard H Haysom, M.D.
• Healing From Within PLLC
• Hearing Aid Express, Inc.
• Heartscan of Pasadena, LP
• Dawn Michelle Hebert, LPC
• Brandon Jacob Heidaker, PT
• Heinz Hermann M D P a
• Ronald Bruce Heisey, MD
• Joseph Heitzman, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.