DR. REZA HESHMATI D.D.S. NPI 1508929753

NPI Information

  • NPI: 1508929753
  • Provider Name: DR. REZA HESHMATI, D.D.S.
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 805 BROADWAY ST STE 110
    VANCOUVER, WA
    ZIP 98660
  • Phone: (360) 524-7100

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NPI Details

DR. Reza Heshmati, D.D.S. is a prosthodontics dentist in Vancouver, WA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Reza Heshmati, D.D.S. NPI is 1508929753. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

805 BROADWAY ST STE 110
VANCOUVER, WA
ZIP 98660-283
Phone: (360) 524-7100
Fax: (360) 524-7101

The NPI 1508929753 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 12/19/2006 and was last updated on 1/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0700XDentistProsthodontics71-0000152OHIONo
21223P0700XDentistProsthodontics61262027WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12276504MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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