Active NPI
Robert Henry Heun, DDS
- General Practice Dentistry
- Fort Carson, CO
National Provider Identifier
1730108200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN-814
- Practice address
- 1631 Wetzel Avenue, BLDG 815
US Army Dental Activity
Fort Carson, CO 80913 - Phone
- (719) 526-5537
- Fax
- (719) 526-5551
- NPI assigned
- Jul 18, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | HD100814 | CO | |
| General Practice Dentistry | 1223G0001X | DEN-814 | CO | Primary |
Addresses
Primary practice location
1631 Wetzel Avenue, BLDG 815
US Army Dental Activity
Fort Carson, CO 80913
Mailing address
1631 Wetzel Avenue, BLDG 815
US Army Dental Activity
Fort Carson, CO 80913
Phone (719) 526-5537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-814 | CO | MD | General Practice Dentistry |
| HD100814 | CO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1730108200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 WETZEL AVENUE, BLDG 815",
"address_2": "US ARMY DENTAL ACTIVITY",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-5537",
"fax_number": "719-526-5551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 WETZEL AVENUE, BLDG 815",
"address_2": "US ARMY DENTAL ACTIVITY",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "80913",
"telephone_number": "719-526-5537",
"fax_number": "719-526-5551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUN",
"first_name": "ROBERT",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "HD100814",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "DEN-814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.