Active NPI
Joshua Alexander Heller
- Dentist
- Zachary, LA
National Provider Identifier
1831847433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7364
- Practice address
- 1081 Copper Mill Blvd
Zachary, LA 70791-7393 - Phone
- (225) 286-4800
- NPI assigned
- Mar 13, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 7364 | LA | Primary |
Addresses
Primary practice location
1081 Copper Mill Blvd
Zachary, LA 70791-7393
Mailing address
1100 Florida Ave # 220
New Orleans, LA 70119-2715
Other practice location 1
1100 Florida Ave # 220
New Orleans, LA 70119-2715
Phone (504) 941-8212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230804003164 | LA | Order and Referring Only - Dentist | 7416318571 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- jheller5330285@direct.casso.us.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1831847433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 FLORIDA AVE # 220",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701192715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1081 COPPER MILL BLVD",
"city": "ZACHARY",
"state": "LA",
"postal_code": "707917393",
"telephone_number": "225-286-4800"
}
],
"practiceLocations": [
{
"address_1": "1100 Florida Ave # 220",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701192715",
"country_code": "US",
"telephone_number": "504-941-8212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELLER",
"first_name": "JOSHUA",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-13",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "7364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zachary, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.