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HEATH HARRIS EVANS DDS
NPI 1417187063
Dentist - Oral and Maxillofacial Surgery in Broken Arrow, OK

Active since July 16, 2009Opted out of Medicare · through Jul 1, 2027
4716 W URBANA ST STE 100, BROKEN ARROW, OK 74012(918) 449-5800(918) 455-8958 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heath Harris Evans Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATH HARRIS EVANS DDS (NPI 1417187063) is an individual oral and maxillofacial surgery provider in Broken Arrow, Oklahoma, licensed in Oklahoma (6153) and active in the NPI registry since July 2009. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417187063
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameHEATH HARRIS EVANSCredential: DDS
Location Address4716 W URBANA ST STE 100Broken Arrow, OK 74012-6162
Mailing Address4716 W Urbana StBroken Arrow, OK 74012-5997 · (918) 449-5800
Phone(918) 449-5800
Fax(918) 455-8958
Sole ProprietorNo
Enumeration DateJuly 16, 2009
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1417187063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in OK · 6153✔ Licensed in OK · 170
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4716 W URBANA ST STE 100, Broken Arrow, OK 74012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heath Harris Evans Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2015 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2015
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIPLEY POWELL DDS
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST STE 100
BROKEN ARROW, OK 74012
Tulsa County (918) 449-5800
DR. GREGORY D SEGRAVES D.D.S., M.S.
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST STE 100
BROKEN ARROW, OK 74012
Tulsa County (918) 449-5800
DR. CHRISTOPHER KEVIN RAY DDS
Dentist (Oral and Maxillofacial Surgery)
4716 W URBANA ST STE 100
BROKEN ARROW, OK 74012
Tulsa County (918) 449-5800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heath Evans's NPI number?

The NPI number for Heath Evans is 1417187063. It was assigned to this individual provider in the NPPES registry on July 16, 2009.

Where is Heath Evans located?

Heath Evans practices at 4716 W Urbana St Ste 100, Broken Arrow, OK 74012. The listed phone number is (918) 449-5800.

What is Heath Evans's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Heath Evans enrolled in Medicare?

No. Heath Evans has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Heath Evans accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Heath Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heath Evans was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.