Individual provider Active NPI

Daniel Cary Heard, DDS, PA

  • General Practice Dentistry
  • North Little Rock, AR
National Provider Identifier
1942372065
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3458 Issued in AR
Practice address
2400 Crestwood Rd
Suite 205
North Little Rock, AR 72116-6861
Phone
(501) 753-2244
Fax
(501) 753-9244
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3458 AR Primary

Addresses

Primary practice location

2400 Crestwood Rd
Suite 205
North Little Rock, AR 72116-6861

Mailing address

2400 Crestwood Rd
Suite 205
North Little Rock, AR 72116-6861
Phone (501) 753-2244

Other identifiers 2

IdentifierTypeStateIssuer
1729401OtherARUNITED CONCORDIAN PROV ID
5Y366OtherARAR BCBS PROV ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150730013428 AR Order and Referring Only - DentistPractitioner - Dentist 4284948506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3458ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel C Heard DDS PA General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942372065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD RD",
            "address_2": "SUITE 205",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166861",
            "telephone_number": "501-753-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD RD",
            "address_2": "SUITE 205",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166861",
            "telephone_number": "501-753-2244",
            "fax_number": "501-753-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "DANIEL",
        "middle_name": "CARY",
        "name_prefix": "Dr.",
        "credential": "DDS, PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "3458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIAN PROV ID",
            "identifier": "1729401",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BCBS PROV ID",
            "identifier": "5Y366",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.