Active NPI
Daniel John Hearrean, D.D.S.
- Dentist
- Katy, TX
National Provider Identifier
1447255997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 21042
- Practice address
- 23515 Kingsland Blvd
Katy, TX 77494-3962 - Phone
- (281) 395-2112
- Fax
- (281) 395-4706
- NPI assigned
- Jun 20, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 21042 | TX | Primary |
Addresses
Primary practice location
23515 Kingsland Blvd
Katy, TX 77494-3962
Mailing address
23515 Kingsland Blvd
Katy, TX 77494-3962
Phone (281) 395-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150603000858 | TX | Order and Referring Only - Oral Surgery | 9830410877 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478044800000",
"number": "1447255997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23515 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774943962",
"telephone_number": "281-395-2112",
"fax_number": "281-395-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23515 KINGSLAND BLVD",
"city": "KATY",
"state": "TX",
"postal_code": "774943962",
"telephone_number": "281-395-2112",
"fax_number": "281-395-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARREAN",
"first_name": "DANIEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2016-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "21042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.