NPIMap

Organization Active NPI

Heidi J Krider, DDS, PC

Doing business as Krider Dental Wellness Center

  • General Practice Dentistry
  • Fort Wayne, IN
National Provider Identifier
1326764077
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEIDI J KRIDER, DDS, PC
Doing business as
Krider Dental Wellness Center
Practice address
1001 Chestnut Hills Pkwy Ste 5
Fort Wayne, IN 46814-7900
Phone
(260) 625-5100
NPI assigned
Oct 14, 2022
Last updated
Oct 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Mrs. Heidi Krider, DDSNPI 1932368412
Title
Dentist/ Owner
Phone
(260) 625-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1001 Chestnut Hills Pkwy Ste 5
Fort Wayne, IN 46814-7900

Mailing address

1001 Chestnut Hills Pkwy Ste 5
Fort Wayne, IN 46814-7900
Phone (260) 625-5100

Other names 1

  • Krider Dental Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

1001 Chestnut Hills Pkwy
Fort Wayne, IN 46814

1001 Chestnut Hills Pkwy
Ste 5
Fort Wayne, IN 46814
Phone (260) 625-5100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1326764077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTNUT HILLS PKWY STE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468147900",
            "telephone_number": "260-625-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTNUT HILLS PKWY STE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468147900",
            "telephone_number": "260-625-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI J KRIDER, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "KRIDER",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "260-625-5100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krider Dental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; 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.