Heritage Network Physician

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

E1757 Issued in TX

Legal business name

HERITAGE NETWORK PHYSICIAN

Practice address

729 Bedford Euless Rd W
Suite 108
Hurst, TX 76053-3939

Phone

(817) 282-0917

Fax

(817) 282-7934

NPI assigned

May 11, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Edward Smith, D.O.

Title

Physician

Phone

(817) 282-0917

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Heritage Network Physician2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Network Physician

  • Orthopaedic Surgery Physician
  • Hurst, TX
  • NPI 1023249919
  NPD tax ID

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1386878973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 BEDFORD EULESS RD W",
            "address_2": "SUITE 108",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533939",
            "telephone_number": "817-282-0917",
            "fax_number": "817-282-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 BEDFORD EULESS RD W",
            "address_2": "SUITE 108",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533939",
            "telephone_number": "817-282-0917",
            "fax_number": "817-282-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE NETWORK PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-282-0917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "E1757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104410902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Hendley
• Andrea Lee Heninger, CRNA
• Rachel Hennessy
• Heritage Habilitation Incorporated
• Heritage Network Physician
• Heritage Network Physician
• Cecilia Hernandez, PT
• Chelsea Hernandez
• Lynn Rae Herr, PHD
• Cody Hicks

• Orthopaedic Surgery Physician in Hurst, TX
• Providers in Hurst, TX by specialty
• Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.