Provider Demographics
NPI:1093724882
Name:HENBEST, HEATH SHYLER (DO)
Entity Type:Individual
Prefix:DR
First Name:HEATH
Middle Name:SHYLER
Last Name:HENBEST
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10350 E DAKOTA AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1314
Mailing Address - Country:US
Mailing Address - Phone:303-338-4545
Mailing Address - Fax:
Practice Address - Street 1:5257 S WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2228
Practice Address - Country:US
Practice Address - Phone:303-338-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO01675207Q00000X
CO52148207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3373243Medicaid
CO53655079Medicaid
CO023557OtherKAISER COMMERCIAL NUMBER
TN4108688OtherBLUE CROSS BLUE SHIELD
TN8364132OtherCIGNA HEALTHCARE
CO53655079Medicaid
TN4108688OtherBLUE CROSS BLUE SHIELD
CO301204YK5YMedicare PIN