NPIMap

Organization Active NPI

James F. Hegedus DDS, PC

  • Dentist
  • Muskegon, MI
National Provider Identifier
1124196183
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08841 Issued in MI
Legal business name
JAMES F. HEGEDUS DDS, PC
Practice address
5978 Harvey St
Muskegon, MI 49444-9737
Phone
(231) 799-0404
Fax
(231) 799-0014
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Mary Beth Hegedus
Title
Administrator
Phone
(231) 799-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 08841 MI Primary

Addresses

Primary practice location

5978 Harvey St
Muskegon, MI 49444-9737

Mailing address

5978 Harvey St
Muskegon, MI 49444-9737
Phone (231) 799-0404

Other names 1

  • Great Lakes Dental Excellence Doing business as

National Provider Directory

National Provider Directory

Locations

5978 Harvey St
Muskegon, MI 49444
Phone (231) 799-0404

Practitioners & affiliated clinicians

Practitioners 7

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124196183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5978 HARVEY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449737",
            "telephone_number": "231-799-0404",
            "fax_number": "231-799-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5978 HARVEY ST",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449737",
            "telephone_number": "231-799-0404",
            "fax_number": "231-799-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. HEGEDUS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEGEDUS",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-799-0404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "08841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Lakes Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.