Individual provider Active NPI

Cody Heston, M.D.

  • Pediatrics Physician
  • Topeka, KS
National Provider Identifier
1366857450
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
04-39747 Issued in KS
Practice address
3500 SW 6TH Ave
Topeka, KS 66606-2814
Phone
(785) 235-0335
NPI assigned
Jun 26, 2014
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-39747 KS Primary

Addresses

Primary practice location

3500 SW 6TH Ave
Topeka, KS 66606-2814

Mailing address

3500 SW 6TH Ave
Topeka, KS 66606-2814
Phone (785) 235-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20141007000328 NE Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 8022238476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-39747KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Medical Center Past Accepting new patients
Pediatric Associates of Topeka, P.a. Pediatrics PastSince Oct 22, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cody.heston@haysmeddirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1366857450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062814",
            "telephone_number": "785-235-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 SW 6TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062814",
            "telephone_number": "785-235-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTON",
        "first_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-39747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.