Organization Active NPI

HMO Incorparated

Doing business as Hedgerow Family Dentistry

  • Dentist
  • Memphis, TN
National Provider Identifier
1275839318
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7821 Issued in TN
Legal business name
HMO INCORPARATED
Doing business as
Hedgerow Family Dentistry
Practice address
6757 E Shelby Dr
Memphis, TN 38141-7846
Phone
(901) 363-3144
Fax
(901) 363-3143
NPI assigned
Feb 8, 2011
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Joe Dean O'Neal, DDS
Title
Doctor
Phone
(901) 363-3144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7821 TN Primary

Addresses

Primary practice location

6757 E Shelby Dr
Memphis, TN 38141-7846

Mailing address

6757 E Shelby Dr
Memphis, TN 38141-7846
Phone (901) 363-3144

Other identifiers 1

IdentifierTypeStateIssuer
1942259254MedicaidTN

Other names 1

  • Hedgerow Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hedgerow Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1275839318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417846",
            "telephone_number": "901-363-3144",
            "fax_number": "901-363-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417846",
            "telephone_number": "901-363-3144",
            "fax_number": "901-363-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HMO INCORPARATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "901-363-3144",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "7821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942259254",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hedgerow Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.