Heidi J Krider, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12010262A Issued in IN

Practice address

1001 Chestnut Hills Pkwy
Suite 5
Fort Wayne, IN 46814-8933

Phone

(260) 625-5100

Fax

(260) 625-5021

NPI assigned

Jun 9, 2008

Sex

Female

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 IN

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 and National Provider Directory roles.

• Heidi J Krider, DDS, PC

  • General Practice Dentistry
  • Fort Wayne, IN
  • NPI 1326764077
  NPD Authorized official
• Sleep Impressions, LLC

  • Specialist
  • Saint Louis, MO
  • NPI 1134547912

  Dentist

  NPD (past)

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1932368412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CHESTNUT HILLS PKWY",
            "address_2": "SUITE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148933",
            "telephone_number": "260-625-5100",
            "fax_number": "260-625-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CHESTNUT HILLS PKWY",
            "address_2": "SUITE 5",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148933",
            "telephone_number": "260-625-5100",
            "fax_number": "260-625-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIDER",
        "first_name": "HEIDI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12010262A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Kreiger, PHARMD
• Stacie Kreiger
• Amy B Kressel, MD
• Stacey M. Krick, PA
• Brooke Krider
• Lisa Kay Krill, APRN
• Indira D Krishnan, P.T.
• Krista Agler LLC
• Sandra A Krizmanich, MD
• Angela Kroemer, RN

• Dentist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.