Individual provider Active NPI

Dawn Fey Hedgepeth, LCSW

  • Specialist
  • San Antonio, TX
National Provider Identifier
1215239645
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31920 Issued in TX
Practice address
1852 Lockhill Selma Rd Ste 105
San Antonio, TX 78213-1500
Phone
(210) 481-3076
NPI assigned
Nov 17, 2010
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31920 TX Primary

Addresses

Primary practice location

1852 Lockhill Selma Rd Ste 105
San Antonio, TX 78213-1500

Mailing address

148 Seford Dr
San Antonio, TX 78209-6035
Phone (210) 481-3076

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

LicenseStateTypeSpecialty
31920TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1215239645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SEFORD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096035",
            "telephone_number": "210-481-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 LOCKHILL SELMA RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131500",
            "telephone_number": "210-481-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEPETH",
        "first_name": "DAWN",
        "middle_name": "FEY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "31920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.