Samer Hejlawy, DDS. MSD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

65263 Issued in CA

Practice address

301 Alamo Dr Ste D
Vacaville, CA 95688-4246

Phone

(415) 996-9981

NPI assigned

Jan 23, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hejlawy DDS PC

  dba Blue Oak Endodontics

  • Endodontics
  • Vacaville, CA
  • NPI 1528579661
  NPD Authorized official
• Reunion Dental Care, LLC

  dba Reunion Dental Care

  • General Practice Dentistry
  • Commerce City, CO
  • NPI 1912108960

  Endodontics

  NPD (past)

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1902229164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 ALAMO DR STE D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884246",
            "telephone_number": "415-996-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ALAMO DR STE D",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884246",
            "telephone_number": "415-996-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18240 E 104th Ave",
            "address_2": "Suit 201",
            "address_purpose": "LOCATION",
            "city": "Commerce City",
            "state": "CO",
            "postal_code": "800220660",
            "country_code": "US",
            "telephone_number": "303-928-7838",
            "fax_number": "303-928-7843",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Broadway # 10",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946122141",
            "country_code": "US",
            "telephone_number": "170-094-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEJLAWY",
        "first_name": "SAMER",
        "name_prefix": "Dr.",
        "credential": "DDS. MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CO",
            "license": "202150",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "65263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE NUMBER",
            "identifier": "DEN.00202150",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Hefler, PT, DPT
• Ahmed Mohammed Hegazy, PHARMD
• Rebecca Leilani Heimbigner, PT, DPT
• Donna Louise Heischober, DDS
• Hejlawy DDS PC (Blue Oak Endodontics)
• Robert A Hekking Inc, D.D.S.
• Emily Helgeson, DPT, PT
• Jacquelyn Hemingway, MD
• Shannon Kathleen Hennessey Bruce, M.S., CCC-SLP
• Terah Hennick, MD

• Endodontics in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.