Active NPI
Jennifer Smith Hedstrom, RDH
- Dental Hygienist
- Lancaster, MA
National Provider Identifier
1194082230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH8456
- Practice address
- 1408 Main St
Lancaster, MA 01523-2585 - Phone
- (978) 697-2535
- NPI assigned
- Apr 13, 2012
- Last updated
- Apr 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH8456 | MA | Primary |
Addresses
Primary practice location
1408 Main St
Lancaster, MA 01523-2585
Mailing address
1408 Main Street
Lancaster, MA 01523
Phone (978) 697-2535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH8456 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334275200000",
"number": "1194082230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 MAIN STREET",
"city": "LANCASTER",
"state": "MA",
"postal_code": "01523",
"telephone_number": "978-697-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 MAIN ST",
"city": "LANCASTER",
"state": "MA",
"postal_code": "015232585",
"telephone_number": "978-697-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDSTROM",
"first_name": "JENNIFER",
"middle_name": "SMITH",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MA",
"license": "DH8456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.