Dr. David M. Heydenreich

Primary specialty

DentistTaxonomy code 122300000X

License

2174 Issued in VT

Legal business name

DR. DAVID M. HEYDENREICH

Practice address

192 Rockingham St
Bellows Falls, VT 05101-1349

Phone

(802) 463-3187

Fax

(802) 463-4021

NPI assigned

Jan 31, 2008

Last updated

Jan 31, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Max Heydenreich, D.M.D.NPI 1477618635

Title

Dentist

Phone

(802) 463-3187

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• David Max Heydenreich, D.M.D.

  • General Practice Dentistry
  • Bellows Falls, VT
  • NPI 1477618635
  NPD (past) Authorized official

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201737600000",
    "number": "1639357734",
    "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": {
        "organization_name": "DR. DAVID M. HEYDENREICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A",
        "authorized_official_last_name": "HEYDENREICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "802-463-3187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VT",
            "license": "2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bellows Falls, VT
• Providers in Bellows Falls, VT by specialty
• Dentist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.