Active NPI
Michael D Hedlund, DC
- Chiropractor
- O'Neill, NE
National Provider Identifier
1306893391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 985
- Practice address
- 304 E Douglas St
Oneill, NE 68763-1830 - Phone
- (402) 336-4222
- Fax
- (402) 336-4228
- NPI assigned
- May 27, 2006
- Last updated
- Jan 26, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 985 | NE | Primary |
Addresses
Primary practice location
304 E Douglas St
Oneill, NE 68763-1830
Mailing address
304 E Douglas St
Oneill, NE 68763-1830
Phone (402) 336-4222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47073762101 | Medicaid | NE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 985 | NE | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1306893391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 E DOUGLAS ST",
"city": "ONEILL",
"state": "NE",
"postal_code": "687631830",
"telephone_number": "402-336-4222",
"fax_number": "402-336-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 E DOUGLAS ST",
"city": "ONEILL",
"state": "NE",
"postal_code": "687631830",
"telephone_number": "402-336-4222",
"fax_number": "402-336-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDLUND",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "985",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47073762101",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in O'Neill, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.