Active NPI
Jay Richard Heim, D.D.S.
- General Practice Dentistry
- Glenwood Springs, CO
National Provider Identifier
1669560561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6823
- Practice address
- 2425 Grand Ave
Ste. 109
Glenwood Springs, CO 81601-4180 - Phone
- (970) 945-9119
- Fax
- (970) 945-1065
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6823 | CO | Primary |
Addresses
Primary practice location
2425 Grand Ave
Ste. 109
Glenwood Springs, CO 81601-4180
Mailing address
2425 Grand Ave
Ste. 109
Glenwood Springs, CO 81601-4180
Phone (970) 945-9119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 22, 2016 through Mar 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6823 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669560561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 GRAND AVE",
"address_2": "STE. 109",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014180",
"telephone_number": "970-945-9119",
"fax_number": "970-945-1065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 GRAND AVE",
"address_2": "STE. 109",
"city": "GLENWOOD SPRINGS",
"state": "CO",
"postal_code": "816014180",
"telephone_number": "970-945-9119",
"fax_number": "970-945-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "JAY",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "6823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.