James Richard Heath III, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1111 Issued in AK

Practice address

3201 Campus Dr
Dental Clinic
Klamath Falls, OR 97601-8801

Phone

(541) 885-1330

Fax

(541) 851-5301

NPI assigned

Mar 2, 2007

Last updated

Nov 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gustavus Community Clinic Inc

  • Family Nurse Practitioner
  • Gustavus, AK
  • NPI 1548281215
  NPD (past)

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1265561880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CAMPUS DR",
            "address_2": "DENTAL CLINIC",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018801",
            "telephone_number": "541-885-1330",
            "fax_number": "541-851-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CAMPUS DR",
            "address_2": "DENTAL CLINIC",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976018801",
            "telephone_number": "541-885-1330",
            "fax_number": "541-851-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1111",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D9007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DD113FQ",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kari Hays
• Head2Toe Nursing Inc
• Healing Minds LLC
• Amy H Heath, IDMT
• Barbara Ann Heath, MA, MS, CADC II
• Kevin T Heaton, DO
• Sharon K Heaton, F.N.P.
• Tatiana Aleksandra Heaton
• Matthew Joseph Heberling
• Carson Heckman

• Dentist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.