David K Heaton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

986 Issued in VT

Practice address

204 N Main St
Rutland, VT 05701-2411

Phone

(802) 775-5286

Fax

(802) 775-2218

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Green Mountain Dental Sleep Center

  • Durable Medical Equipment & Medical Supplies
  • Rutland, VT
  • NPI 1326500141
  NPD (past)
• Heaton & Fisch Dental Associates

  • General Practice Dentistry
  • Rutland, VT
  • NPI 1013065218
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487702510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-5286",
            "fax_number": "802-775-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAIN ST",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012411",
            "telephone_number": "802-775-5286",
            "fax_number": "802-775-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "DAVID",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004586",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgette Marie Haviland
• Levi Haviland
• Aaron Dale Hay, BC-HIS
• Brandy Joy Haymaker, FNP-BC
• Heaton & Fisch Dental Associates
• Samantha Marie Helinski, APRN
• Deborah A Henley, MD
• Lisa Marie Henry
• Sonali A Herath, PA
• John C Hergert, CRNA

• General Practice Dentistry in Rutland, VT
• Providers in Rutland, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.