Active NPI
Theresa Ann Hegedus, DDS
- Dentist
- Muskegon, MI
National Provider Identifier
1336217371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17237
- Practice address
- 5978 Harvey St
Muskegon, MI 49444-9737 - Phone
- (231) 799-0404
- Fax
- (231) 799-0014
- NPI assigned
- Nov 30, 2006
- Last updated
- Jan 31, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 17237 | MI | Primary |
Addresses
Primary practice location
5978 Harvey St
Muskegon, MI 49444-9737
Mailing address
5978 Harvey St
Muskegon, MI 49444-9737
Phone (231) 799-0404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3391364 | Medicaid | MI | |
| J801835 | Other | MI | MICHIGAN BCBS DENTAL |
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 |
|---|---|---|---|
| 17237 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James F. Hegedus DDS, PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548892800000",
"number": "1336217371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5978 HARVEY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494449737",
"telephone_number": "231-799-0404",
"fax_number": "231-799-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5978 HARVEY ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494449737",
"telephone_number": "231-799-0404",
"fax_number": "231-799-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGEDUS",
"first_name": "THERESA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2019-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "17237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3391364",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN BCBS DENTAL",
"identifier": "J801835",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.