JOHN EDWARD HELDRIDGE D.D.S.
NPI 1093924243
Dentist - Oral and Maxillofacial Surgery in Edmonds, WA
About John Edward Heldridge D.d.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN EDWARD HELDRIDGE D.D.S. (NPI 1093924243) is an individual oral and maxillofacial surgery provider in Edmonds, Washington, licensed in Washington (DE00004286) and active in the NPI registry since May 2007. He has opted out of Medicare through October 24, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
John Edward Heldridge D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 24, 2017 through October 24, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDMONDS, WA 98026
EDMONDS, WA 98026
EDMONDS, WA 98026
EDMONDS, WA 98026
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Heldridge's NPI number?
The NPI number for John Heldridge is 1093924243. It was assigned to this individual provider in the NPPES registry on May 22, 2007.
Where is John Heldridge located?
John Heldridge practices at 21701 76th Ave W Suite 202, Edmonds, WA 98026. The listed phone number is (425) 744-1724.
What is John Heldridge's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is John Heldridge enrolled in Medicare?
No. John Heldridge has opted out of Medicare through October 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for John Heldridge was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John Edward Heldridge, D.D.S. · NPI 1093924243
Oral and Maxillofacial Surgery provider in Edmonds, Washington. Individual provider, active in the CMS NPPES registry since May 22, 2007.
## Identity
- **NPI:** 1093924243 (Entity type: Individual)
- **Enumerated:** May 22, 2007
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** DE00004286 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 21701 76TH AVE W, SUITE 202, Edmonds, WA 98026-7536
- **Phone:** (425) 744-1724
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through October 24, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 5350608 (WA); Medicare UPIN TO3005
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Source: [NPI Profile](https://npiprofile.com/npi/1093924243) · Data from the CMS NPPES public registry.