Hayden Scott Vandenberg, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

13895 Issued in NC

Practice address

108 Doctors Dr
Boone, NC 28607-5000

Phone

(828) 262-4651

Fax

(828) 386-1773

NPI assigned

Jun 11, 2024

Last updated

Aug 9, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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.

• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Boone, NC
  • NPI 1588366355
  Medicare reassignment NPD
• High Country Community Health

  • Federally Qualified Health Center (FQHC)
  • Mount Airy, NC
  • NPI 1629942115
  NPD

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1720820558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286071490",
            "telephone_number": "828-262-3886",
            "fax_number": "833-665-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 DOCTORS DR",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075000",
            "telephone_number": "828-262-4651",
            "fax_number": "828-386-1773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Pineola St",
            "address_purpose": "LOCATION",
            "city": "Newland",
            "state": "NC",
            "postal_code": "286577604",
            "country_code": "US",
            "telephone_number": "828-742-1018",
            "fax_number": "828-742-1024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555113",
            "country_code": "US",
            "telephone_number": "828-608-9062",
            "fax_number": "828-742-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDENBERG",
        "first_name": "HAYDEN",
        "middle_name": "SCOTT",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "13895",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Michal Vallecillo, MA, LCMHC-A
• Lionel Van Der Westhuizen, M.D.
• Jennifer P Van Gilder, MA, CCC, SLP
• Mary Elizabeth Van Huss, LCSW
• Whitney B Van Sant, LICENSED PSYCHOLOGIC
• Scott L Vandiver, MD
• Vannoy Counseling Services, PLLC
• Michael James Vannoy, MA
• Susan Herzog Vannoy, MA, LMFT, LCAS
• Vladimir Vedock, DC

• Dentist in Boone, NC
• Providers in Boone, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.