Individual provider Active NPI

John O'Connor Heiman, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Kansas City, MO
National Provider Identifier
1912173592
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
2004036765 Issued in MO
Practice address
4545 Wornall Rd
# 608
Kansas City, MO 64111-3270
Phone
(816) 716-0935
NPI assigned
May 5, 2008
Last updated
May 5, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2004036765 MO Primary

Addresses

Primary practice location

4545 Wornall Rd
# 608
Kansas City, MO 64111-3270

Mailing address

4545 Wornall Rd
# 608
Kansas City, MO 64111-3209
Phone (816) 716-0935

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 3, 2015 through Dec 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004036765MOMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1912173592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 WORNALL RD",
            "address_2": "# 608",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113209",
            "telephone_number": "816-716-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 WORNALL RD",
            "address_2": "# 608",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113270",
            "telephone_number": "816-716-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMAN",
        "first_name": "JOHN",
        "middle_name": "O'CONNOR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MO",
            "license": "2004036765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.