David Max Heydenreich, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2174 Issued in VT

Practice address

192 Rockingham St
Bellows Falls, VT 05101-1349

Phone

(802) 463-3187

Fax

(802) 463-4021

NPI assigned

Dec 27, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dr. David M. Heydenreich

  • Dentist
  • Bellows Falls, VT
  • NPI 1639357734
  NPD (past) Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477618635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 ROCKINGHAM ST",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011349",
            "telephone_number": "802-463-3187",
            "fax_number": "802-463-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 ROCKINGHAM ST",
            "city": "BELLOWS FALLS",
            "state": "VT",
            "postal_code": "051011349",
            "telephone_number": "802-463-3187",
            "fax_number": "802-463-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDENREICH",
        "first_name": "DAVID",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Care & Rehabilitation Services of SE VT Inc.
• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.
• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.
• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.
• Health Care and Rehabilitation Services of Southeastern Vermont, Inc.
• Holiday Counseling PLC
• Jody P Houghton, PAC
• Kristen Elizabeth Hurd, PSY.D.
• Jahangir Mozaffari DDS PLLC
• Courtney James

• General Practice Dentistry in Bellows Falls, VT
• Providers in Bellows Falls, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.