Active NPI
Sophon Heng, DDS
- Dentist
- Goodyear, AZ
National Provider Identifier
1861526733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D5618
- Practice address
- 105 N Litchfield Rd
Goodyear, AZ 85338-1617 - Phone
- (623) 932-3200
- NPI assigned
- Mar 15, 2007
- Last updated
- Feb 26, 2016
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D5618 | AZ | Primary |
Addresses
Primary practice location
105 N Litchfield Rd
Goodyear, AZ 85338-1617
Mailing address
105 N Litchfield Rd
Goodyear, AZ 85338-1617
Phone (623) 932-3200
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D5618 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katsur Dental of Arizona, Inc. | Past | Accepting new patients | |
| Perfect Teeth / Abc P.C. | Dentist | Past | Accepting new patients |
| Southwest Dental Center, Inc | Dentist | Past | Accepting new patients |
| Abc Dental Center, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Tucson, AZ
- NPI 1811170483
-
dba Katsur Dental of Arizona
- General Practice Dentistry
- Goodyear, AZ
- NPI 1174771612
-
- Dentist
- Tucson, AZ
- NPI 1225365703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456444800000",
"number": "1861526733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N LITCHFIELD RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381617",
"telephone_number": "623-932-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N LITCHFIELD RD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853381617",
"telephone_number": "623-932-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENG",
"first_name": "SOPHON",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2016-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D5618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.