Active NPI
Heidy H Anway
- Dental Hygienist
- Douglas, AZ
National Provider Identifier
1982103479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H04284
- Practice address
- 1100 F Ave
Douglas, AZ 85607-1919 - Phone
- (520) 364-3285
- Fax
- (520) 515-8663
- NPI assigned
- Feb 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H04284 | AZ | Primary |
Addresses
Primary practice location
1100 F Ave
Douglas, AZ 85607-1919
Mailing address
155 Calle Portal Ste 100
Sierra Vista, AZ 85635-2900
Phone (520) 515-8673
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 |
|---|---|---|---|
| H04284 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518134400000",
"number": "1982103479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL STE 100",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352900",
"telephone_number": "520-515-8673",
"fax_number": "520-515-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 F AVE",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071919",
"telephone_number": "520-364-3285",
"fax_number": "520-515-8663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANWAY",
"first_name": "HEIDY",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-09",
"last_updated": "2018-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H04284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglas, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.