JOHN R VAN HEUKELOM DDS MS NPI 1891771960

NPI Information

NPI: 1891771960
Provider Name: JOHN R VAN HEUKELOM, DDS MS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
835 3RD AVE SE
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 365-8441
Get Directions

John R Van Heukelom, DDS MS is an oral and maxillofacial surgery dentist in Cedar Rapids, IA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. John R Van Heukelom, DDS MS NPI is 1891771960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

835 3RD AVE SE
CEDAR RAPIDS, IA
ZIP 52403-407
Phone: (319) 365-8441
Fax: (319) 365-0480

The enumeration date for this NPI number is 12/20/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	06239	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0181933	MEDICAID	IOWA
2	47403	MEDICARE ID-TYPE UNSPECIFIED	IOWA
3	T01048	MEDICARE UPIN	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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