Brian W Heck, DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BRIAN W HECK, DDS PA

Practice address

4621 W 6TH St Ste B
Lawrence, KS 66049-4358

Phone

(785) 856-0285

NPI assigned

Jun 22, 2017

Organization subpart

No

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

Authorized official

Name

Pama Gay Foster

Title

Bookkeeper

Phone

(785) 856-0285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508386335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 W 6TH ST STE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494358",
            "telephone_number": "785-856-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 W 6TH ST STE B",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660494358",
            "telephone_number": "785-856-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN W HECK, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "PAMA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "785-856-0285"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.