Soulmaz Heydari, B.S. , D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

30948 Issued in TX

Practice address

9500 S Ih 35
Ste. E-400
Austin, TX 78748-1752

Phone

(512) 282-7200

NPI assigned

Jul 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1518341908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S IH 35",
            "address_2": "STE. E-400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481752",
            "telephone_number": "512-282-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 S IH 35",
            "address_2": "STE. E-400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787481752",
            "telephone_number": "512-282-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDARI",
        "first_name": "SOULMAZ",
        "credential": "B.S. , D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Elise Hewitt, M.S. SLP-CCC
• Jason Hewitt, LPC, LMFT
• Julie Hewitt, COTA
• Kimberly M Hewitt, M.D.
• Steven Spencer Hewitt, M.D.
• Molly Heygood
• Elizabeth Heyl, MS, LPC
• Cathryn A Heyman, L.P.C.
• Jill E Heytens, M.D.
• HGS Pharmacy LLC

• Dentist in Austin, TX
• Providers in Austin, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.