John R Van Heukelom, DDS MS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

06239 Issued in IA

Practice address

835 3Rd Ave SE
Cedar Rapids, IA 52403-2407

Phone

(319) 365-8441

Fax

(319) 365-0480

NPI assigned

Dec 20, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Cedar Rapids Oral Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Cedar Rapids, IA
  • NPI 1841458981
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891771960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 3RD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032407",
            "telephone_number": "319-365-8441",
            "fax_number": "319-365-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 3RD AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032407",
            "telephone_number": "319-365-8441",
            "fax_number": "319-365-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN HEUKELOM",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "06239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181933",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Vahanian
• George D Valentine, DC PHC
• Mark Valliere, M.D.
• Patricia Carolyn McLain Van Alstyne, PH.D.
• Tiffany Van Dee
• Tessa Corin Van Maanen
• Jacob Van Oort, PHARMD
• Katie Sue Vanarendonk, PT
• Vance Thompson Vision Surgery Center Cedar Rapids LLC
• Lesley Gail Vancura, ARNP

• Oral and Maxillofacial Surgery (Dentist) in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.