Active NPI
Amy Heil DMD PC
- General Practice Dentistry
- Las Vegas, NV
National Provider Identifier
1366616450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5106
- Legal business name
- AMY HEIL DMD PC
- Practice address
- 4760 S Pecos Rd
Suite 103
Las Vegas, NV 89121-5828 - Phone
- (800) 409-2563
- Fax
- (623) 321-6268
- NPI assigned
- Apr 18, 2008
- Last updated
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy M Heil, DMD
- Title
- Owner
- Phone
- (623) 434-9343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5106 | NV | Primary |
Addresses
Primary practice location
4760 S Pecos Rd
Suite 103
Las Vegas, NV 89121-5828
Mailing address
1904 W Parkside LN
Suite 201
Phoenix, AZ 85027-1228
Phone (623) 434-9343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100510475 | Medicaid | NV | |
| 1144315862 | Other | NV | TYPE 1 NPI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Las Vegas, NV
- NPI 1144315862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1366616450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 W PARKSIDE LN",
"address_2": "SUITE 201",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850271228",
"telephone_number": "623-434-9343",
"fax_number": "623-321-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4760 S PECOS RD",
"address_2": "SUITE 103",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891215828",
"telephone_number": "800-409-2563",
"fax_number": "623-321-6268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMY HEIL DMD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "HEIL",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-434-9343",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NV",
"license": "5106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100510475",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1144315862",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.