Shelby Lee Hedgespeth Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8459 Issued in KY

Practice address

798 Portland Ave
Bardstown, KY 40004-2539

Phone

(502) 348-7378

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY

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

Medicare enrollment (NPD)

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.

• University of Kentucky

  • Diagnostic Radiology Physician
  • Lexington, KY
  • NPI 1770771974
  Medicare reassignment NPD
• University of Kentucky

  • General Practice Dentistry
  • Lexington, KY
  • NPI 1194852582
  NPD
• Mortenson Family Dental Center - Bardstown, PLLC

  • Dental Clinic/Center
  • Bardstown, KY
  • NPI 1265722672
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1215145230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 PORTLAND AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042539",
            "telephone_number": "502-348-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 PORTLAND AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400042539",
            "telephone_number": "502-348-7378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405362539",
            "country_code": "US",
            "telephone_number": "859-323-5831",
            "fax_number": "859-257-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGESPETH",
        "first_name": "SHELBY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "8459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Elise Hayes, PA-C
• Hazard Hills, LLC
• Elizabeth Lena Jean Heaton, APRN
• Heaven'S Halo
• Lauren Michelle Hedgespeth, D.M.D.
• James Allen Hedrick, MD
• Michele Herbert, APRN
• Cassandra N Hickman, PHARMD
• Claire A. Hicks
• Robert Brian Hicks, CSA

• General Practice Dentistry in Bardstown, KY
• Providers in Bardstown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.