Organization Active NPI

Michael J Hedmond DDS PLLC

  • Dentist
  • Weirton, WV
National Provider Identifier
1013130251
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2713 Issued in WV
Legal business name
MICHAEL J HEDMOND DDS PLLC
Practice address
332 Penco Rd
Weirton, WV 26062-3813
Phone
(304) 723-1230
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Hedmond, DDSNPI 1841387578
Title
Sole Member
Phone
(304) 723-1230

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2713 WV Primary

Addresses

Primary practice location

332 Penco Rd
Weirton, WV 26062-3813

Mailing address

332 Penco Rd
Weirton, WV 26062-3813
Phone (304) 723-1230

National Provider Directory

National Provider Directory

Locations

332 Penco Rd
Weirton, WV 26062
Phone (304) 723-1230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1013130251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623813",
            "telephone_number": "304-723-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 PENCO RD",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260623813",
            "telephone_number": "304-723-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J HEDMOND DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HEDMOND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "304-723-1230",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WV",
            "license": "2713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.