Active NPI
Caesar R. Hearne, D.D.S.
- General Practice Dentistry
- Layton, UT
National Provider Identifier
1124161948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 358446-9923
- Practice address
- 880 Heritage Park Blvd
Ste. 220
Layton, UT 84041-5676 - Phone
- (801) 728-4688
- Fax
- (801) 728-4868
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 358446-9923 | UT | Primary |
Addresses
Primary practice location
880 Heritage Park Blvd
Ste. 220
Layton, UT 84041-5676
Mailing address
880 Heritage Park Blvd
Ste. 220
Layton, UT 84041-5676
Phone (801) 728-4688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 358446-9923 | UT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Woodland Park Dental P.C. | General Practice | Past | Accepting new patients |
Networks
- UT PPO D-SNP
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Layton, UT
- NPI 1477696235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124161948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 HERITAGE PARK BLVD",
"address_2": "STE. 220",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415676",
"telephone_number": "801-728-4688",
"fax_number": "801-728-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 HERITAGE PARK BLVD",
"address_2": "STE. 220",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415676",
"telephone_number": "801-728-4688",
"fax_number": "801-728-4868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARNE",
"first_name": "CAESAR",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "UT",
"license": "358446-9923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- 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.