Robert M Heath DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15057 Issued in CA

Legal business name

ROBERT M HEATH DDS INC

Practice address

3759 Constellation Road
Lompac, CA 93436

Phone

(805) 733-4574

Fax

(805) 733-1665

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Houtz Heath, DDSNPI 1790022432

Title

Vice Pres Robert M Heath DDS Inc

Phone

(805) 733-4574

Specialties & licenses 3

Addresses

Locations

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.

• William H Heath, DDS

  • General Practice Dentistry
  • Lompoc, CA
  • NPI 1790022432
  NPD (past) Authorized official
• Douglas R Heath, DDS

  • Dentist
  • Clarkston, WA
  • NPI 1578800215

  General Practice

  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902026545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 CONSTELLATION ROAD",
            "city": "LOMPAC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-733-4574",
            "fax_number": "805-733-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3759 CONSTELLATION ROAD",
            "city": "LOMPAC",
            "state": "CA",
            "postal_code": "93436",
            "telephone_number": "805-733-4574",
            "fax_number": "805-733-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M HEATH DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOUTZ",
        "authorized_official_title_or_position": "VICE PRES ROBERT M HEATH DDS INC",
        "authorized_official_telephone_number": "805-733-4574",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39278",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "53795",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "15057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.