Heather N Perdue, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2011016312 Issued in MO

Practice address

1345 N Jesse James Rd
Excelsior Springs, MO 64024-1183

Phone

(816) 630-5713

Fax

(816) 630-0392

NPI assigned

Jun 14, 2011

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CAJHCA

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.

• Northland Gastroenterology

  • Gastroenterology Physician
  • Excelsior Springs, MO
  • NPI 1093884504
  NPD (past)
• Schreier Family Medicine LLC

  • Family Medicine Physician
  • Excelsior Springs, MO
  • NPI 1841586831
  NPD (past)

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1639464092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 N JESSE JAMES RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241183",
            "telephone_number": "816-630-5713",
            "fax_number": "816-630-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 N JESSE JAMES RD",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "640241183",
            "telephone_number": "816-630-5713",
            "fax_number": "816-630-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "HEATHER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2011016312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Oden
• Karmen M Olberding, ARNP
• Monte Dean Overcast, PHARM.D., BCPS
• Paul Kent Overman, D.D.S.
• Danen Pauly, D.C.
• Thang Phan
• John Phillips, MD
• Howard Andrew Pickett, MD
• William Kent Powell, D.D.S.
• Red Cross Pharmacy, LLC

• General Practice Dentistry in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.