Ellen C Vander Heyden, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D14025 Issued in MN

Practice address

327 13TH St S Ste 100
Delano, MN 55328-4631

Phone

(763) 972-2915

NPI assigned

May 23, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen C Krueger Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1215428487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 4TH ST S",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553289182",
            "telephone_number": "414-897-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 13TH ST S STE 100",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553284631",
            "telephone_number": "763-972-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER HEYDEN",
        "first_name": "ELLEN",
        "middle_name": "C",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "KRUEGER",
            "middle_name": "C",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura Lynn Thunell, LADC, LPCC
• Renata Tinoco Stephens, MA
• Total Living Commitment, Inc.
• David Scott Trcka, PA-C
• Connor Turner, PHARMD
• Amy A Voss, MS
• Adam Wallace Weber, MD
• Stephanie Rose Weldon, M.S. OTR/L
• David Douglas Wermager, CRNA
• Martin Barry Wiss, LICSW, LMFT

• Dentist in Delano, MN
• Providers in Delano, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.