Individual provider Active NPI

Dennis Heaney, PA-C

  • Psychiatry Physician
  • Edmond, OK
National Provider Identifier
1437868254
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4886 Issued in OK
Practice address
2000 Sonoma Park Dr
Edmond, OK 73013-2092
Phone
(405) 285-2260
Fax
(405) 285-2280
NPI assigned
Nov 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4886 OK Primary

Addresses

Primary practice location

2000 Sonoma Park Dr
Edmond, OK 73013-2092

Mailing address

2000 Sonoma Park Dr
Edmond, OK 73013-2092
Phone (405) 285-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250724000203 OK Practitioner - Physician Assistant 5991228462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jennifer M Morris MD PCGroup PAC ID 2062579808, 3 clinicians

Practice addresses (Care Compare)

2000 Sonoma Park Dr
Edmond, OK 73013-2092
Phone 4052852260110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4886OKMDPsychiatry Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1437868254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SONOMA PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132092",
            "telephone_number": "405-285-2260",
            "fax_number": "405-285-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SONOMA PARK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730132092",
            "telephone_number": "405-285-2260",
            "fax_number": "405-285-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "DENNIS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "4886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.