Duane Arlyn Van Nieuwenhuyzen, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DDS-09335 Issued in IA

Practice address

3664 Utica Ridge Road
Bettendorf, IA 52722

Phone

(563) 209-9041

Fax

(563) 209-9042

NPI assigned

Sep 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Riverbend Endodontics

  • Dental Clinic/Center
  • Bettendorf, IA
  • NPI 1043761398
  Authorized official Same address or phone
• Zumbro Valley Endodontics

  • Endodontics
  • Rochester, MN
  • NPI 1568067213
  NPD (past)

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1437308178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 UTICA RIDGE ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-209-9041",
            "fax_number": "563-209-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 UTICA RIDGE ROAD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "52722",
            "telephone_number": "563-209-9041",
            "fax_number": "563-209-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NIEUWENHUYZEN",
        "first_name": "DUANE",
        "middle_name": "ARLYN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "DDS-09335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Upchurch Chiropractic Inc (True North Family Chiropractic)
• Marlena Urbain, MSW
• Joseph Charles Urbaitis, O.D.
• Gordon B Urbi, MD
• Brett Austin Vacek
• Michael Wayne Vandello, DDS
• Laurel A. Vanklaveren, LHMC, LCPC
• Jessica Vann, ARNP
• Lauren Vanspeybroeck, MS, CF-SLP
• Vascular & Thoracic Assoc. LTD.

• Endodontics in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Endodontics in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.