Individual provider Active NPI

Brandon Cole Hedgecock, D.D.S.

  • Dentist
  • Austin, TX
National Provider Identifier
1043416753
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26159 Issued in TX
Practice address
5920 W William Cannon Dr
BLDG 6 Suite 200
Austin, TX 78749-1902
Phone
(512) 633-0055
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 26159 TX Primary

Addresses

Primary practice location

5920 W William Cannon Dr
BLDG 6 Suite 200
Austin, TX 78749-1902

Mailing address

7500 Shadowridge Run
#26
Austin, TX 78749-4275
Phone (512) 633-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929000221 TX Practitioner - Dentist 4587880877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Sleep Better Austin Treatment PLLCGroup PAC ID 4183913932, 9 clinicians

Practice addresses (Care Compare)

5920 W William Cannon Dr
BLDG 6 Suite 210
Austin, TX 78749-1902
Phone (512) 215-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26159TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Hedgecock Dental, PLLC CurrentSince Jun 1, 2014 Accepting new patients
Ozark Snoring and Sleep Apnea PLLC Dentist Current Accepting new patients
Sleep Better Austin Treatment, PLLC Dentist CurrentSince Jun 17, 2020 Accepting new patients
Sleep Better Austin Treatment PLLC CurrentSince Jan 1, 2016 Accepting new patients
Sleep Better Austin Treatment PLLC Dentist Past Accepting new patients
Sleep Better Austin Treatment PLLC Dentist Past Accepting new patients
Sleep Better Austin Treatment PLLC Dentist Past Accepting new patients
CK Dental Group Dentist PastSince May 1, 2013 Accepting new patients

Locations

4009 Banister Ln
Ste 370
Austin, TX 78704
Phone 5122154350402

1600 W 38th St
Ste 407
Austin, TX 78731
Phone (512) 722-6075

5920 W William Cannon Dr
Ste 210
Austin, TX 78749

5920 W William Cannon Dr
Bldg 6
Austin, TX 78749
Phone (512) 336-8909

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1043416753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SHADOWRIDGE RUN",
            "address_2": "#26",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494275",
            "telephone_number": "512-633-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 W WILLIAM CANNON DR",
            "address_2": "BLDG 6 SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787491902",
            "telephone_number": "512-633-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGECOCK",
        "first_name": "BRANDON",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.