Justin Anthony Heaton, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DE60739379 Issued in WA

Practice address

1933 Belmont Loop
Woodland, WA 98674-8492

Phone

(208) 569-4169

NPI assigned

Jul 5, 2011

Last updated

Mar 1, 2026By 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

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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.

• Hillyard and Neil, P.L.L.C.

  • Pediatric Dentistry
  • Vancouver, WA
  • NPI 1184413262
  NPD (past)

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1336436906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5417 NE 265TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986427713",
            "telephone_number": "208-569-4169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 BELMONT LOOP",
            "city": "WOODLAND",
            "state": "WA",
            "postal_code": "986748492",
            "telephone_number": "208-569-4169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "JUSTIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60739379",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "DE60739379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric G. Gurrad, DDS
• Hadi Youssef DMD PLLC. (Woodland Family Dental)
• Eden Genevieve Harmon
• Elizabeth Havel, M.S., CCC-SLP
• Healthy Living Chiropractic PS (Healthy Living Chiropractic)
• Hemmelman Chiropractic, PC (Woodland Chiropractic Wellness Clinic)
• Roberta Hemmelman, D.C.
• Edward Hernandez
• Adam Anderson Herreid, LMHC, LPC
• Hi School Pharmacy Inc (Hi-School Pharmacy #2100)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2026; 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.