Individual provider Active NPI

Jason Lloyd Heiken, DDS

  • General Practice Dentistry
  • Englewood, CO
National Provider Identifier
1750377321
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CO 7220 Issued in CO
Practice address
10111 Inverness Main St
Suite E
Englewood, CO 80112-5722
Phone
(303) 781-3603
Fax
(303) 781-3703
NPI assigned
Sep 20, 2005
Last updated
Apr 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X CO 7220 CO Primary

Addresses

Primary practice location

10111 Inverness Main St
Suite E
Englewood, CO 80112-5722

Mailing address

10111 Inverness Main St
Suite E
Englewood, CO 80112-5722
Phone (303) 781-3603

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 26, 2018 through Jul 26, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO 7220COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jason L Heiken, DDS, PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1750377321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 INVERNESS MAIN ST",
            "address_2": "SUITE E",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125722",
            "telephone_number": "303-781-3603",
            "fax_number": "303-781-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 INVERNESS MAIN ST",
            "address_2": "SUITE E",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125722",
            "telephone_number": "303-781-3603",
            "fax_number": "303-781-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKEN",
        "first_name": "JASON",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "CO 7220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.