Active NPI
A. Stephen Heller, DMD
- Endodontics
- Laguna Hills, CA
National Provider Identifier
1508968033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- D25263
- Practice address
- 24953 Paseo de Valencia
Suite 18C
Laguna Hills, CA 92653-4342 - Phone
- (949) 830-4270
- Fax
- (949) 830-1778
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | D25263 | CA | Primary |
| Periodontics | 1223P0300X | D25263 | CA |
Addresses
Primary practice location
24953 Paseo de Valencia
Suite 18C
Laguna Hills, CA 92653-4342
Mailing address
24953 Paseo de Valencia
Suite 18C
Laguna Hills, CA 92653-4342
Phone (949) 830-4270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D25263 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Stephen Heller, DMD, a Professional Corporation | Endodontics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Endodontics
- Laguna Hills, CA
- NPI 1861594301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272931200000",
"number": "1508968033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA",
"address_2": "SUITE 18C",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "949-830-4270",
"fax_number": "949-830-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA",
"address_2": "SUITE 18C",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "949-830-4270",
"fax_number": "949-830-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "A.",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2010-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "D25263",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "D25263",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.