NPIMap

Individual provider Active NPI

Daniel Heaston, M.D.

  • Orthopaedic Surgery Physician
  • Greeley, CO
National Provider Identifier
1871715078
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
49282 Issued in CO
Practice address
5890 W 13TH St Ste 101
Greeley, CO 80634-4821
Phone
(970) 810-0020
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD60078261 WA
Orthopaedic Surgery Physician 207X00000X MT186161 PA
Orthopaedic Surgery Physician 207X00000X 49282 CO Primary

Addresses

Primary practice location

5890 W 13TH St Ste 101
Greeley, CO 80634-4821

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420

Other identifiers 2

IdentifierTypeStateIssuer
0252120OtherWALABOR & INDUSTRIES
48751880MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101123000778 CO Practitioner - Orthopedic Surgery 1658426580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

2000 Boise Ave
Loveland, CO 80538-5006
Phone (970) 820-4640

2555 E 13TH St
Suite 105
Loveland, CO 80537-5134
Phone (970) 820-6300

2964 Ginnala Dr
Loveland, CO 80538-2701
Phone (970) 667-7755

4617 W 20TH St
Greeley, CO 80634-3207
Phone (970) 352-9022

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

5890 W 13TH St
Greeley, CO 80634-4821

730 14TH St SW
Loveland, CO 80537-6349
Phone (970) 663-0815

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49282COMDRegistered Nurse
MT186161PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Banner Hospital Based Physicians Colorado LLC CurrentSince Feb 1, 2013 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Oct 1, 2012 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Oct 1, 2012 Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

2400 Edison St
Brush, CO 80723
Phone (970) 842-2833

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

5890 W 13th St
Ste 101
Greeley, CO 80634
Phone (970) 348-0020

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2555 E 13th St
Ste 105
Loveland, CO 80537
Phone (970) 810-0020

Organizations & group practices 5

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1871715078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-543-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 W 13TH ST STE 101",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806344821",
            "telephone_number": "970-810-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEASTON",
        "first_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60078261",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT186161",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "49282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0252120",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "48751880",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.