David Loyd Vanderheiden I, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H8480 Issued in TX

Practice address

4818 Holly Rd
Suite a
Corpus Christi, TX 78411-4734

Phone

(361) 993-1747

Fax

(361) 993-1748

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.vanderheiden.1@24695.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Bend Family Medicine, P.a.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1629062179

  Family Medicine, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1790779247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 HOLLY RD",
            "address_2": "SUITE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114734",
            "telephone_number": "361-993-1747",
            "fax_number": "361-993-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 HOLLY RD",
            "address_2": "SUITE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114734",
            "telephone_number": "361-993-1747",
            "fax_number": "361-993-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERHEIDEN",
        "first_name": "DAVID",
        "middle_name": "LOYD",
        "name_suffix": "I",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114951003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88T881",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Van Loo
• Dennis Van Maren, DDS
• Daniel H Van Pelt, RDH
• Alison Brooke Vande Castle, DPT
• Sarah Medlin Vanderah, DMD
• Kayla Gray Vanderkooi
• Matthew Charles Vandermause, DO
• Megan R Vanderveen, AGPCNP-C
• Chari Denise Vandever, LPC
• Kenneth S Vanexan, MD

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.