Organization Active NPI

W. Tyler Heath, D.M.D., Family Dentistry a Dent

  • General Practice Dentistry
  • Rayville, LA
National Provider Identifier
1639484983
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5110 Issued in LA
Legal business name
W. TYLER HEATH, D.M.D., FAMILY DENTISTRY A DENT
Practice address
1107 Louisa Street
Rayville, LA 71269
Phone
(318) 728-9585
Fax
(318) 728-9595
NPI assigned
Aug 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
William Tyler Heath, D.M.D.NPI 1609811124
Title
Owner/President
Phone
(318) 728-9585

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5110 LA Primary

Addresses

Primary practice location

1107 Louisa Street
Rayville, LA 71269

Mailing address

1107 Louisa Street
Rayville, LA 71269
Phone (318) 728-9585

Other identifiers 1

IdentifierTypeStateIssuer
1851108MedicaidLA

National Provider Directory

National Provider Directory

Locations

538 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-8529

1107 Louisa St
Rayville, LA 71269
Phone (318) 728-9585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1639484983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 LOUISA STREET",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "71269",
            "telephone_number": "318-728-9585",
            "fax_number": "318-728-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 LOUISA STREET",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "71269",
            "telephone_number": "318-728-9585",
            "fax_number": "318-728-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. TYLER HEATH, D.M.D., FAMILY DENTISTRY A DENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "318-728-9585",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851108",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.

Verify at the official NPI Registry.