David B Heetderks, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

6698 Issued in MT

Practice address

2442 Winne Ave Ste 1
Helena, MT 59601-4915

Phone

(406) 457-4100

Fax

(406) 457-4110

NPI assigned

Jul 20, 2006

Last updated

Mar 11, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: david.heetderks@1179.chartlogic.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Injury Care & Sports Medicine, Inc.

  • Sports Medicine (Family Medicine) Physician
  • Helena, MT
  • NPI 1619166972
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1003836164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 WINNE AVE STE 1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014915",
            "telephone_number": "406-457-4100",
            "fax_number": "406-457-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 WINNE AVE STE 1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014915",
            "telephone_number": "406-457-4100",
            "fax_number": "406-457-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEETDERKS",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MT",
            "license": "6698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086463",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Hedblom, PA-C
• Risa Hedges, OD
• Corey Hedstrom
• Emily Hedum, DO
• Brian J Heeney, RPH
• Doris S Heffner, MSW LCSW
• Jesse Miller Mumford Heide, LCSW
• Helena Chiropractic Center PLLC
• Helena Denture Clinic, PLLC
• Helena Dermatology & Laser Clinic, P.C.

• Orthopaedic Surgery Physician in Helena, MT
• Providers in Helena, MT by specialty
• Orthopaedic Surgery Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.