Jeffrey David Heyse Jr., D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

00204233 Issued in CO

Practice address

2373 Central Park Blvd Unit 203
Denver, CO 80238-2300

Phone

(720) 594-1024

NPI assigned

Aug 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Heyse Endodontics PLLC

  • Dental Clinic/Center
  • Denver, CO
  • NPI 1417630500
  NPD Authorized official

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

{
    "created_epoch": "1344124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1174870547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 POPLAR ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201837",
            "telephone_number": "702-336-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2373 CENTRAL PARK BLVD UNIT 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802382300",
            "telephone_number": "720-594-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYSE",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-05",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "00204233",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Hewitt, RN
• Lee Ann Hewitt, LAT, ATC
• Kent D Heyborne, MD
• Theresa A Heyer-Schmidt, ND
• Heyse Endodontics PLLC
• Laura K Heyse, FNP-BC
• Christiana Marie Heywood
• Michelle Lynne Hiatt
• Rachel Marie Hiatt, APP, PMHNP
• Tawny Hiatt, PH.D.

• Endodontics in Denver, CO
• Providers in Denver, CO by specialty
• Endodontics in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.