Nathaniel Gray Heinsohn, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7383 Issued in OK

Practice address

2619 S Elm PL
Broken Arrow, OK 74012-7878

Phone

(918) 872-0218

NPI assigned

Jun 30, 2015

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Advantage Dental Oral Health Center of Oklahoma, P.C.

  • General Practice Dentistry
  • Broken Arrow, OK
  • NPI 1386412328
  NPD

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1457734113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127878",
            "telephone_number": "918-872-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127878",
            "telephone_number": "918-872-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINSOHN",
        "first_name": "NATHANIEL",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7383",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin John Heaps
• Hearing Healthcare Associates
• Heartland Dental Care of Oklahoma, PC
• Amy E. Hefley
• Danielle Hegdale, BA, MS
• Jessica Heiser, PHARMD
• Monica Lee Heisler, RN, BSN, MSN, FNP-BC
• Amanda Helm, PA
• Donald Ray Helmer Jr.
• Morgan E Helms, LCSW

• Dentist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.