Heather Leonard Renc, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D008983 Issued in AZ

Practice address

105 N Litchfield Rd
Goodyear, AZ 85338-1617

Phone

(623) 932-3200

NPI assigned

Jun 22, 2015

Last updated

Feb 15, 2016By the provider in NPPES

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

Other names 1

• Miss Heather Renee Leonard Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Katsur Dental of Arizona, Inc.

  dba Katsur Dental of Arizona

  • General Practice Dentistry
  • Goodyear, AZ
  • NPI 1174771612
  NPD (past)
• Southwest Dental Center, Inc

  dba Sun West Dental Center

  • Dentist
  • Goodyear, AZ
  • NPI 1508909300
  NPD (past)

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1699157057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N LITCHFIELD RD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381617",
            "telephone_number": "623-932-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENC",
        "first_name": "HEATHER",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "LEONARD",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Alyss Regalado, SLPA
• Regen Advanced Infusion and Wellness
• Mikayla Rekken, DDS
• Releto Enterprise LLC (FirstLight Home Care of Goodyear)
• Reliable Behavior Home Care LLC
• Nicole Rerucha, LPC
• Resilience Wellness Center, PLLC
• Resiliency Counseling and Consultation Services, LLC
• Resilient Star Counseling and Wellness, LLC
• Resounding Hope LLC

• General Practice Dentistry in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.

Verify at the official NPI Registry.