JOHN R VAN HEUKELOM DDS MS NPI 1891771960

NPI Information

  • NPI: 1891771960
  • Provider Name: JOHN R VAN HEUKELOM, DDS MS
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 835 3RD AVE SE
    CEDAR RAPIDS, IA
    ZIP 52403
  • Phone: (319) 365-8441

Map and Directions

Get Directions

NPI Details

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
11223S0112XDentistOral and Maxillofacial Surgery06239IOWAYes

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 Other Provider Identifier Issuer
10181933MEDICAIDIOWA
247403MEDICARE ID-TYPE UNSPECIFIEDIOWA
3T01048MEDICARE UPINIOWA

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI