Heath Harris Evans, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6153 Issued in OK

Practice address

4716 W Urbana St Ste 100
Broken Arrow, OK 74012-6162

Phone

(918) 449-5800

Fax

(918) 455-8958

NPI assigned

Jul 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: heath.evans@direct.stjohnhealthsystem.com

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.

• Eastern Oklahoma Oral and Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Broken Arrow, OK
  • NPI 1487074704
  NPD (past)

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1417187063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-449-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST STE 100",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126162",
            "telephone_number": "918-449-5800",
            "fax_number": "918-455-8958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12802 E 101st Pl N",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554662",
            "country_code": "US",
            "telephone_number": "918-449-5800",
            "fax_number": "918-455-8958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 S York St",
            "address_purpose": "LOCATION",
            "city": "Muskogee",
            "state": "OK",
            "postal_code": "744037672",
            "country_code": "US",
            "telephone_number": "918-449-5800",
            "fax_number": "918-455-8958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "HEATH",
        "middle_name": "HARRIS",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "170",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OK",
            "license": "6153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Ann Esponge, APRN, FNP-C
• Essential Anesthesia Management, LLC
• Eton Home Healthcare, Inc.
• Ida Eureste
• Carrie L Evans, APRN-CNP
• Julia Ann Evans
• Robbie Stephenie Eversole, CCC-SLP
• Excel Therapy Specialists, LLC
• Eyemart Express LLC
• Eyemart Express, LTD.

• Oral and Maxillofacial Surgery (Dentist) in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.