NPIMap

Organization Active NPI

Evon T. Heaser, D.D.S., P.C.

  • Dentist
  • Columbia Falls, MT
National Provider Identifier
1750736609
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
EVON T. HEASER, D.D.S., P.C.
Practice address
160 Nucleus Ave
Columbia Falls, MT 59912-4010
Phone
(406) 892-2085
NPI assigned
Apr 28, 2016
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Evon T HeaserNPI 1568729812
Title
Owner
Phone
(414) 313-0359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

160 Nucleus Ave
Columbia Falls, MT 59912-4010

Mailing address

4049 Bailey View Dr
Eugene, OR 97405-6256
Phone (406) 892-2085

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1750736609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 BAILEY VIEW DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974056256",
            "telephone_number": "406-892-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 NUCLEUS AVE",
            "city": "COLUMBIA FALLS",
            "state": "MT",
            "postal_code": "599124010",
            "telephone_number": "406-892-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVON T. HEASER, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "HEASER",
        "authorized_official_first_name": "EVON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-313-0359"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.