David Robert Heidenriech, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

16077 Issued in MI

Practice address

105 E Green St
Marshall, MI 49068-1532

Phone

(269) 781-7997

Fax

(269) 781-4484

NPI assigned

Oct 3, 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

Enrolled in MI

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

Locations

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 R Heidenreich

  • Dentist
  • Marshall, MI
  • NPI 1801586854
  NPD

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669566402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E GREEN ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681532",
            "telephone_number": "269-781-7997",
            "fax_number": "269-781-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E GREEN ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681532",
            "telephone_number": "269-781-7997",
            "fax_number": "269-781-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDENRIECH",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "16077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darren Paul Hathaway, M.D.
• Karissa Hawley, CNM
• Healing Hands Home Physician Services
• Alissa Marie Heatherly
• Erich Heidenreich, D.D.S., P.L.L.C
• Sidney Heisler, MD
• Hemmingsen Drug Store Inc
• Sara Heidenreich Hendler, DDS
• Shannon Nicole Hepler
• Heritage Pointe Senio

• Dentist in Marshall, MI
• Providers in Marshall, MI by specialty
• Dentist in Michigan

• 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.
• 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.