DR. THOMAS HEIDENREICH D.D.S.
NPI 1720367394
Dentist - Oral and Maxillofacial Surgery in Saint Cloud, MN

Active since August 12, 2011PECOS EnrolledAccepts Medicare Assignment
3950 VETERANS DR STE 100, SAINT CLOUD, MN 56303(320) 252-3611 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2021, May 15, 2021, Apr 17, 2018 (3 updates tracked since 2018).

About Dr. Thomas Heidenreich D.d.s. NPPES

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

DR. THOMAS HEIDENREICH D.D.S. (NPI 1720367394) is an individual oral and maxillofacial surgery provider in Saint Cloud, Minnesota, licensed in Minnesota (S169) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1720367394
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. THOMAS HEIDENREICHCredential: D.D.S.
Location Address3950 VETERANS DR STE 100Saint Cloud, MN 56303-3424
Mailing AddressCentrasota Oral Surgeons, 3950 Veterans Drive, Suite 100St. Cloud, MN 56303 · (320) 252-3611 · Fax (320) 252-7574
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 12, 2011
Last NPPES UpdateNovember 24, 20213 updates tracked since enumeration
NPPES CertifiedNovember 11, 2021
NPI 1720367394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in MN · S169
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.
3950 VETERANS DR STE 100, Saint Cloud, MN 56303

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Heidenreich D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234437864
PECOS Enrollment IDI20220504000318
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 3

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

Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR STE 100
SAINT CLOUD, MN 56303
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR STE 100
SAINT CLOUD, MN 56303
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR STE 100
SAINT CLOUD, MN 56303

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 Thomas Heidenreich's NPI number?

The NPI number for Thomas Heidenreich is 1720367394. It was assigned to this individual provider in the NPPES registry on August 12, 2011.

Where is Thomas Heidenreich located?

Thomas Heidenreich practices at 3950 Veterans Dr Ste 100, Saint Cloud, MN 56303. The listed phone number is (320) 252-3611.

What is Thomas Heidenreich's specialty?

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

Is Thomas Heidenreich enrolled in Medicare?

Yes. Thomas Heidenreich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Heidenreich accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Thomas Heidenreich 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 Thomas Heidenreich was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.