Active NPI
Nathan Heywood, DDS
- Dentist
- Walsenburg, CO
National Provider Identifier
1619329448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 00203138
- Practice address
- 624 Main St
Walsenburg, CO 81089-2136 - Phone
- (719) 695-1004
- NPI assigned
- Jul 5, 2016
- Last updated
- Apr 29, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 00203138 | CO | Primary |
Addresses
Primary practice location
624 Main St
Walsenburg, CO 81089-2136
Mailing address
624 Main St
Walsenburg, CO 81089-2136
Phone (719) 695-1004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161117002665 | FL | Order and Referring Only - Dentist | 7810276672 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00203138 | CO | MD | Dentist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745884800000",
"number": "1619329448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MAIN ST",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "810892136",
"telephone_number": "719-695-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MAIN ST",
"city": "WALSENBURG",
"state": "CO",
"postal_code": "810892136",
"telephone_number": "719-695-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYWOOD",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-05",
"last_updated": "2025-04-29",
"certification_date": "2025-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "00203138",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walsenburg, CO
- Health Solutions (Walsenburg MH)
- Health Solutions (Rural Services - Huerfano County SUD)
- Antoinette M Heble, PHARMD
- Erin Leigh Helbing, FNP
- Starla Ann Hensley, RN
- Greg Hosler, MD
- Huerfano County Dept. of Social Services
- Huerfano County Hospital District (Spanish Peaks Family Clinic)
- Huerfano County Hospital District (Spanish Peaks Specialty Clinic)
- Huerfano County Hospital District (Spanish Peaks Regional Health Center Pro Fees)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.