Active NPI
Carl E Heard, MD
- Family Medicine Physician
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7674
- Practice address
- 5250 Neil Rd 207
Reno, NV 89502-6556 - Phone
- (775) 398-1981
- Fax
- (888) 491-4526
- NPI assigned
- Aug 12, 2006
- Last updated
- Jul 28, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7674 | NV | Primary |
Addresses
Primary practice location
5250 Neil Rd 207
Reno, NV 89502-6556
Mailing address
5250 Neil Rd 207
Reno, NV 89502-6556
Phone (775) 398-1981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7674 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current | Accepting new patients | |
| Nevada Health Centers, Inc | Past | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
865 Third Ave
Ste 133
Chula Vista, CA 91911
Phone (619) 428-1330
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
dba San Ysidro Health Senior Dental Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457033813
-
dba San Ysidro Health South Bay Pediatrics
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1184135873
-
dba Pahrump Family Health Center
- Federally Qualified Health Center (FQHC)
- Pahrump, NV
- NPI 1326872334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438041600000",
"number": "1447262316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 NEIL RD 207",
"city": "RENO",
"state": "NV",
"postal_code": "895026556",
"telephone_number": "775-398-1981",
"fax_number": "888-491-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 NEIL RD 207",
"city": "RENO",
"state": "NV",
"postal_code": "895026556",
"telephone_number": "775-398-1981",
"fax_number": "888-491-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "CARL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2015-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "7674",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
- Healtherapy of Nevada
- Healthy Lifestyle Residence, LLC
- Sara Anne Healy, M.D.
- Theodore R Healy, MSW, LCSW
- Kelly Heape, M.D.
- Hearing Plus, Inc. (Reno Hearing Center)
- Hearing Speech Pathology and Reading Center Inc (alipine center for audiology and hearing aids)
- Allen Hearn, LCSW
- James Hubbard Hearn, LCSW
- Isaac Hearne, MD PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.