Paula Pruitt Heard, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011195 Issued in GA

Practice address

4806 Flat Shoals Pkwy
Decatur, GA 30034-5205

Phone

(770) 987-3430

Fax

(770) 987-7929

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Devan Dental LLC

  • Dental Clinic/Center
  • Decatur, GA
  • NPI 1396213039
  NPD (past)
• Heard & Heard Dental Associates, P.C.

  • Dental Clinic/Center
  • Decatur, GA
  • NPI 1144374851
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407900202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 FLAT SHOALS PKWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345205",
            "telephone_number": "770-987-3430",
            "fax_number": "770-987-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 FLAT SHOALS PKWY",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345205",
            "telephone_number": "770-987-3430",
            "fax_number": "770-987-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "PAULA",
        "middle_name": "PRUITT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00885233A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Path Counseling LLC
• Heard & Heard Dental Associates, P.C.
• Erika Nicole Heard, M.D.
• Kelwin J Heard, DDS
• Kenneth W. Heard, PH.D.
• Heart to Heart Medical Transport LLC
• Heart Tree LLC
• Heather Kotlerlcsw MPH LLC
• Rachel Heatherly, PHD
• Kerry A Heckman

• General Practice Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.