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DR. EMILY J VAN HEUKELOM D.D.S.
NPI 1578738837
Dentist - Oral and Maxillofacial Surgery in Salem, NH

Active since April 28, 2008Opted out of Medicare · through Oct 1, 2026
395 MAIN ST, UNIT 1, SALEM, NH 03079(603) 893-7601 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Emily J Van Heukelom D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EMILY J VAN HEUKELOM D.D.S. (NPI 1578738837) is an individual oral and maxillofacial surgery provider in Salem, New Hampshire, licensed in New Hampshire (03719) and active in the NPI registry since April 2008. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578738837
Entity TypeIndividualFemale
Primary Taxonomy1223S0112X
Provider Legal NameDR. EMILY J VAN HEUKELOMCredential: D.D.S.
Location Address395 MAIN ST, UNIT 1Salem, NH 03079-2464
Mailing Address395 Main St, Unit 1Salem, NH 03079-2464 · (603) 893-7601
Phone(603) 893-7601
Sole ProprietorNo
Enumeration DateApril 28, 2008
Last NPPES UpdateJuly 28, 2009
✔ NPI 1578738837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in NH · 03719✔ Licensed in MA · LIMITED # 9516
Definition
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.
395 MAIN ST, Salem, NH 03079
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Emily J Greenbowe D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Michigan, Guardian, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Emily J Van Heukelom 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 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03079 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONALD PHILIP HYDE D.M.D.
Dentist (General Practice)
395 MAIN ST
SALEM, NH 03079
Rockingham County (603) 898-3030

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 Emily Van Heukelom's NPI number?

The NPI number for Emily Van Heukelom is 1578738837. It was assigned to this individual provider in the NPPES registry on April 28, 2008. The provider is also known as Dr. Emily J Greenbowe D.D.S..

Where is Emily Van Heukelom located?

Emily Van Heukelom practices at 395 Main St Unit 1, Salem, NH 03079. The listed phone number is (603) 893-7601.

What is Emily Van Heukelom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Emily Van Heukelom enrolled in Medicare?

No. Emily Van Heukelom has opted out of Medicare through October 1, 2026. 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.

What insurance does Emily Van Heukelom accept?

Health plans from Delta Dental of Michigan, Guardian and Priority Health list Emily Van Heukelom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emily Van Heukelom was last updated on July 28, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.