Individual provider Active NPI

David J Vanderheyden, M.S., CPT

  • Clinical Exercise Physiologist
  • Clarkston, MI
National Provider Identifier
1740194802
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
6571 Ridgeview Dr
Clarkston, MI 48346-4453
Phone
(248) 762-6874
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X MI Primary

Addresses

Primary practice location

6571 Ridgeview Dr
Clarkston, MI 48346-4453

Mailing address

6571 Ridgeview Dr
Clarkston, MI 48346-4453
Phone (248) 762-6874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1740194802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6571 RIDGEVIEW DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464453",
            "telephone_number": "248-762-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6571 RIDGEVIEW DR",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464453",
            "telephone_number": "248-762-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHEYDEN",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "M.S., CPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.