Active NPI
David L Heard, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Edmonds, WA
National Provider Identifier
1386636934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 00015414
- Practice address
- 21600 Hwy 99
Suite 255
Edmonds, WA 98026-8012 - Phone
- (425) 774-2628
- Fax
- (425) 774-2676
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 00015414 | WA | Primary |
Addresses
Primary practice location
21600 Hwy 99
Suite 255
Edmonds, WA 98026-8012
Mailing address
21600 Hwy 99
Ste 255
Edmonds, WA 98026-8047
Phone (425) 774-2628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922905 | Medicaid | WA | |
| 18297 | Other | WA | WORKER'S COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00015414 | WA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Institute of Washington PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Seattle, WA
- NPI 1457433104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1386636934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 HWY 99",
"address_2": "STE 255",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268047",
"telephone_number": "425-774-2628",
"fax_number": "425-774-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 HWY 99",
"address_2": "SUITE 255",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268012",
"telephone_number": "425-774-2628",
"fax_number": "425-774-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "DAVID",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "WA",
"license": "00015414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922905",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKER'S COMP",
"identifier": "18297",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.