Active NPI
Shaun Heier, DDS
- General Practice Dentistry
- El Reno, OK
National Provider Identifier
1902467871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7208
- Practice address
- 1711 Investors Ave
El Reno, OK 73036-1607 - Phone
- (405) 262-1919
- NPI assigned
- Jun 21, 2019
- Last updated
- Jun 21, 2019
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7208 | OK | Primary |
Addresses
Primary practice location
1711 Investors Ave
El Reno, OK 73036-1607
Mailing address
600 Bison Crossing Dr
Yukon, OK 73099-0287
Phone (208) 716-4687
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7208 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Reno Dental | Past | Accepting new patients | |
| PLW Anesthesia LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- El Reno, OK
- NPI 1033631841
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1700040680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1902467871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BISON CROSSING DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730990287",
"telephone_number": "208-716-4687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 INVESTORS AVE",
"city": "EL RENO",
"state": "OK",
"postal_code": "730361607",
"telephone_number": "405-262-1919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIER",
"first_name": "SHAUN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-21",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "7208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Reno, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.