Paul Collins Heilman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3291 Issued in LA

Practice address

7600 Fern Ave
BLDG #1100
Shreveport, LA 71105-5659

Phone

(318) 797-1550

Fax

(318) 797-1510

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Fern Avenue Dental Center

  • Dentist
  • Shreveport, LA
  • NPI 1114308582
  NPD (past) Authorized official

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1497875553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FERN AVE",
            "address_2": "BLDG #1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055659",
            "telephone_number": "318-797-1550",
            "fax_number": "318-797-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FERN AVE",
            "address_2": "BLDG #1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055659",
            "telephone_number": "318-797-1550",
            "fax_number": "318-797-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "PAUL",
        "middle_name": "COLLINS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "3291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832910",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelby Hebert, CRNA
• Stephanie Schimschock Hebron, RN
• Kedria L Hector, MSW
• Troy Hefner, MD
• Tanner Hegefeld, DO
• Fateemah Fareeda Helaire
• Sara Helferich, LCSW
• Brenda J Helm
• Tarek A Helmy, MD
• Help With Benefit Programs, LLC

• General Practice Dentistry in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.