Michelle Renee Hedgecock, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26352 Issued in TX

Practice address

1008 Mopac Circle
Suite 100
Austin, TX 78746-7874

Phone

(512) 501-2385

Fax

(512) 233-2636

NPI assigned

Jun 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Michelle Renee Hedgecock Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 19, 2016 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Michelle Hedgecock DDS PLLC

  dba Luxe Dental Austin

  • General Practice Dentistry
  • Austin, TX
  • NPI 1144863861
  NPD Authorized official
• Sabal Dental Austin PLLC

  • General Practice Dentistry
  • Austin, TX
  • NPI 1386419208
  NPD

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1134324478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JUSTIN BLVD",
            "city": "WEBB CITY",
            "state": "MO",
            "postal_code": "64870",
            "telephone_number": "417-673-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 MOPAC CIRCLE",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467874",
            "telephone_number": "512-501-2385",
            "fax_number": "512-233-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGECOCK",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2007015471",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "HEDGECOCK",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lindsey Lee Heddleston Smith, LMSW
• Caroline Hedenberg
• Hedgecock Dental & Associates PLLC (Hedgecock Dental)
• Hedgecock Dental, PLLC
• Brandon Cole Hedgecock, D.D.S.
• Rhiannon Hedrick
• Victoria Heebner, MOT, OTR
• Nancy E Heerssen, DDS
• Veneranda Ida Heffern, LCSW
• Anna Heffernan

• General Practice Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.