Organization Active NPI

Heaton Holdings, PLLC

  • Dentist
  • Garland, TX
National Provider Identifier
1235558453
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEATON HOLDINGS, PLLC
Practice address
1501 West Miller Rd.
Suite 180
Garland, TX 75094
Phone
(972) 696-9273
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Dr. Bevan W Heaton, DMDNPI 1699095620
Title
Owner
Phone
(972) 696-9273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1501 West Miller Rd.
Suite 180
Garland, TX 75094

Mailing address

1501 West Miller Rd.
Suite 180
Garland, TX 75094
Phone (972) 696-9273

Other names 1

  • My Family Dentist Garland Doing business as

National Provider Directory

National Provider Directory

Locations

1501 W Miller Rd
Ste 180
Garland, TX 75041
Phone (972) 696-9273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1235558453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 WEST MILLER RD.",
            "address_2": "SUITE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75094",
            "telephone_number": "972-696-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 WEST MILLER RD.",
            "address_2": "SUITE 180",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75094",
            "telephone_number": "972-696-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATON HOLDINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "HEATON",
        "authorized_official_first_name": "BEVAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-696-9273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Family Dentist Garland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; 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.