Christine Lorraine Hedblom, RDH, MFT

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402205234 Issued in VA

Practice address

10446 Ridgefield Pkwy
Henrico, VA 23233-3544

Phone

(804) 381-6238

NPI assigned

Jun 18, 2021

Last updated

Jun 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christine Lorraine Hedblom Professional name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1013586650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SHIRE WALK LN",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232336989",
            "telephone_number": "804-920-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10446 RIDGEFIELD PKWY",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232333544",
            "telephone_number": "804-381-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDBLOM",
        "first_name": "CHRISTINE",
        "middle_name": "LORRAINE",
        "credential": "RDH, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402205234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0402205234",
            "identifier": "0402205234",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.RichmondFamilyDentistry.com",
            "affiliation": "N",
            "address_1": "10446 Ridgefield Pkwy",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232333544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Richmondfamilydentistry.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10446 Ridgefield Pkwy",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232333544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HEDBLOM",
            "middle_name": "LORRAINE",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dental Hygienist in Henrico, VA
• Providers in Henrico, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; 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.