NPIMap

Organization Active NPI

Randall K Heckert DMD Inc

  • Dentist
  • Eureka, CA
National Provider Identifier
1467799205
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
RANDALL K HECKERT DMD INC
Practice address
2787 Harris St
Suite a
Eureka, CA 95503-4873
Phone
(707) 443-6781
Fax
(707) 443-6719
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Randall K Heckert, DMDNPI 1801056080
Title
President
Phone
(707) 443-6781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2787 Harris St
Suite a
Eureka, CA 95503-4873

Mailing address

2787 Harris St
Suite a
Eureka, CA 95503-4873
Phone (707) 443-6781

Other names 1

  • Growing Smiles Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2787 Harris St
Ste A
Eureka, CA 95503
Phone (707) 443-6781

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1467799205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2787 HARRIS ST",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034873",
            "telephone_number": "707-443-6781",
            "fax_number": "707-443-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2787 HARRIS ST",
            "address_2": "SUITE A",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034873",
            "telephone_number": "707-443-6781",
            "fax_number": "707-443-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL K HECKERT DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "HECKERT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-443-6781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growing Smiles Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.