NPIMap

Organization Active NPI

Heritage Network Physician

  • Pain Medicine (Anesthesiology) Physician
  • Hurst, TX
National Provider Identifier
1609807858
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
HERITAGE NETWORK PHYSICIAN
Practice address
729 W Bedford Euless Rd
Ste 108
Hurst, TX 76053-3939
Phone
(817) 282-6905
Fax
(817) 282-0939
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Edward W Smith, DONPI 1710985940
Title
Director
Phone
(817) 282-6905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

729 W Bedford Euless Rd
Ste 108
Hurst, TX 76053-3939

Mailing address

729 W Bedford Euless Rd
Ste 108
Hurst, TX 76053-3939
Phone (817) 282-6905

National Provider Directory

National Provider Directory

Locations

538 W Harwood Rd
Hurst, TX 76054
Phone (817) 282-0917

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609807858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 W BEDFORD EULESS RD",
            "address_2": "STE 108",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533939",
            "telephone_number": "817-282-6905",
            "fax_number": "817-282-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 W BEDFORD EULESS RD",
            "address_2": "STE 108",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533939",
            "telephone_number": "817-282-6905",
            "fax_number": "817-282-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE NETWORK PHYSICIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-282-6905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.