Active NPI
Edward Fred Heyne, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1801912944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6361
- Practice address
- 1800 Bering Dr Ste 650
Houston, TX 77057-3170 - Phone
- (713) 784-2952
- Fax
- (713) 784-3331
- NPI assigned
- Mar 21, 2007
- 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 | 6361 | TX | Primary |
Addresses
Primary practice location
1800 Bering Dr Ste 650
Houston, TX 77057-3170
Mailing address
27 Pinewold Cir
Houston, TX 77056-1400
Phone (713) 784-2952
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 |
|---|---|---|---|
| 6361 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanglewood Dental Associates,P.C.,D.D.S | General Practice | Past | Accepting new patients |
| RL Dental Ventures | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Houston, TX
- NPI 1902563323
-
- General Practice Dentistry
- Houston, TX
- NPI 1255593711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801912944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 PINEWOLD CIR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770561400",
"telephone_number": "713-784-2952",
"fax_number": "713-784-3331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 BERING DR STE 650",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770573170",
"telephone_number": "713-784-2952",
"fax_number": "713-784-3331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYNE",
"first_name": "EDWARD",
"middle_name": "FRED",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "6361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.