Larry Heggerness Social Purpose Professional Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE00003686 Issued in WA

Legal business name

LARRY HEGGERNESS SOCIAL PURPOSE PROFESSIONAL CORPORATION

Practice address

6720 Fort Dent Way Ste 120
Tukwila, WA 98188-2580

Phone

(206) 242-4121

Fax

(206) 242-4113

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Larry K Heggerness, DDS

Title

President

Phone

(206) 242-4121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1124365796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY STE 120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-242-4121",
            "fax_number": "206-242-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 FORT DENT WAY STE 120",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882580",
            "telephone_number": "206-242-4121",
            "fax_number": "206-242-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY HEGGERNESS SOCIAL PURPOSE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "HEGGERNESS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-242-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE00003686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Marie Lanning
• Sonya Joy Lantz
• Wendy Alana Lara Lundquist
• Maria Elena Lara, PHD
• Mary Ann Lara
• Patricia Dianne Larsen, A.R.N.P.
• Kyla Lorraine Larson
• Justine Renee Lashley, M.S., CCC-SLP
• Jennifer Meagan Laspisa
• Rowena F. Lau

• Pediatric Dentistry in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Pediatric Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.