Mitchyl Ellen Hedman, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH.002025741 Issued in CO

Practice address

2828 International Cir Ste 100
Colorado Springs, CO 80910-3127

Phone

(719) 475-0783

NPI assigned

Mar 3, 2021

Last updated

Mar 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1063007987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 WILLOW TREE GRV APT 302",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809107135",
            "telephone_number": "814-730-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 INTERNATIONAL CIR STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103127",
            "telephone_number": "719-475-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDMAN",
        "first_name": "MITCHYL",
        "middle_name": "ELLEN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "DH.002025741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Reilly Hector
• Jaquelyn Hedden, DPT, OCS
• Haley Hedges
• Jeremy Hedges, MD
• Hedman Counseling
• Tara L Hedman
• Brandon Heedt
• Nathan Heeke, DC
• Jackie Michelle Heersink
• Susan M Heffley, MD

• Dental Hygienist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Dental Hygienist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.