Larry Heater, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

24113 Issued in CA

Practice address

107 H. St. East
Poplar, MT 59255

Phone

(406) 768-2129

Fax

(406) 786-3423

NPI assigned

Sep 22, 2006

Last updated

Jan 16, 2013By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1275633018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 H. ST. EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-2129",
            "fax_number": "406-768-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 H. ST. EAST",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-2129",
            "fax_number": "406-786-3423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATER",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "24113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA  STATE BOARD",
            "identifier": "24113",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2210068",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick N Hamly, M.D.
• Dawn Marie Hanks, RN
• Denys L Hanto, RN-44503
• Rachel Hawker
• Christopher Headdress
• Brenda Lee Henry, R.T (R)
• Abigaile Julio Higgins, FNP-C
• Janell R Hopkins, LAC
• Indian Health Service
• Wally Jean, MD

• Dentist in Poplar, MT
• Providers in Poplar, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.